Atualmente, trauma representa uma das grandes causas de morte. Algumas vítimas de trauma podem ev... more Atualmente, trauma representa uma das grandes causas de morte. Algumas vítimas de trauma podem evoluir para morte encefálica, podendo ser viabilizadas como doadoras de órgãos e tecidos. Objetivos: Conhecer os diferentes tipos de trauma que resultaram em morte encefálica; caracterizar potenciais doadores segundo a faixa etária, sexo e raça; quantificar os potenciais doadores que efetivaram ou não a doação de órgãos e tecidos, especificando os motivos da não-doação; conhecer quais os órgãos e tecidos utilizados para transplante. Métodos: Estudo quantitativo, descritivo e retrospectivo, utilizando dados coletados dos prontuários da Organização de Procura de Órgãos do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Resultados: Foram analisados os dados de 198 prontuários de potenciais doadores, durante o período de janeiro de 2004 a dezembro de 2005. Os dados mostraram que dos potenciais doadores vítimas de trauma, 78,79% eram do sexo masculino, 67,17% eram ...
Objective: To analyze the continuing medical education program developed at the Hospital Israelit... more Objective: To analyze the continuing medical education program developed at the Hospital Israelita Albert Einstein, formally initiated in 2002, carried out in six successive 12-month cycles and focused on participating physicians, as to compliance with the program over time and as to educational production measured by a credit system. Methods: This is a descriptive (population) study that used a scoring
Objectives: To analyze the Continuing Medical Education (CME) program developed at the Hospital I... more Objectives: To analyze the Continuing Medical Education (CME) program developed at the Hospital Israelita Albert Einstein, formally initiated in 2002, carried out in six successive 12-month cycles and focused on participating physicians, as to compliance with the program over time and as to educational production measured by a credit system. Methods: This is a descriptive (population) study that used a
Objective: To investigate how often physicians identify and treat tobacco dependence and whether ... more Objective: To investigate how often physicians identify and treat tobacco dependence and whether characteristics as gender, age, marital status, medical specialty and smoking status can influence their attitude towards this question. Methods: A cross-sectional study was performed on 515 physicians working in a private hospital in São Paulo, Brazil, using a confidential voluntary questionnaire sent and answered electronically. Results: We found that 89% of physicians who answered the research questionnaire often or always asked their patients about smoking habits, but only 39% often or always treated patients' tobacco dependence. In our sample, 5.8% of individuals were current smokers. Tobacco dependent physicians provided less treatment for smoking dependence compared with those who had never smoked, or were former smokers. Being a clinician was associated with higher probability to treat tobacco dependence. Conclusion: Physicians should not only address patients' smoking habits but also provide treatment whenever tobacco dependence is diagnosed. To understand physicians' attitude towards smoking may help to develop strategies to stimulate patients' treatment. The development of smoking cessation programs meant specifically for physicians may also be a strategy to enhance patients' treatment.
Objective: Physician participation in Continuing Medical Education programs may be influenced by ... more Objective: Physician participation in Continuing Medical Education programs may be influenced by a number of factors. To evaluate the factors associated with compliance with the Continuing Medical Education requirements at a private hospital, we investigated whether physicians' activity, measured by volumes of admissions and procedures, was associated with obtaining 40 Continuing Medical Education credits (40 hours of activities) in a 12-month cycle. Methods: In an exclusive and non-mandatory Continuing Medical Education program, we collected physicians' numbers of hospital admissions and numbers of surgical procedures performed. We also analyzed data on physicians' time since graduation, age, and gender. Results: A total of 3,809 credentialed, free-standing, private practice physicians were evaluated. Univariate analysis showed that the Continuing Medical Education requirements were more likely to be achieved by male physicians (odds ratio 1.251; p=0.009) and who had a higher number of hospital admissions (odds ratio 1.022; p<0.001). Multivariate analysis showed that age and number of hospital admissions were associated with achievement of the Continuing Medical Education requirements. Each hospital admission increased the chance of achieving the requirements by 0.4%. Among physicians who performed surgical procedures, multivariate analysis showed that male physicians were 1.3 time more likely to achieve the Continuing Medical Education requirements than female physicians. Each surgical procedure performed increased the chance of achieving the requirements by 1.4%. Conclusion: The numbers of admissions and number of surgical procedures performed by physicians at our hospital were associated with the likelihood of meeting the Continuing Medical Education requirements. These findings help to shed new light on our Continuing Medical Education program.
Atualmente, trauma representa uma das grandes causas de morte. Algumas vítimas de trauma podem ev... more Atualmente, trauma representa uma das grandes causas de morte. Algumas vítimas de trauma podem evoluir para morte encefálica, podendo ser viabilizadas como doadoras de órgãos e tecidos. Objetivos: Conhecer os diferentes tipos de trauma que resultaram em morte encefálica; caracterizar potenciais doadores segundo a faixa etária, sexo e raça; quantificar os potenciais doadores que efetivaram ou não a doação de órgãos e tecidos, especificando os motivos da não-doação; conhecer quais os órgãos e tecidos utilizados para transplante. Métodos: Estudo quantitativo, descritivo e retrospectivo, utilizando dados coletados dos prontuários da Organização de Procura de Órgãos do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Resultados: Foram analisados os dados de 198 prontuários de potenciais doadores, durante o período de janeiro de 2004 a dezembro de 2005. Os dados mostraram que dos potenciais doadores vítimas de trauma, 78,79% eram do sexo masculino, 67,17% eram ...
Objective: To analyze the continuing medical education program developed at the Hospital Israelit... more Objective: To analyze the continuing medical education program developed at the Hospital Israelita Albert Einstein, formally initiated in 2002, carried out in six successive 12-month cycles and focused on participating physicians, as to compliance with the program over time and as to educational production measured by a credit system. Methods: This is a descriptive (population) study that used a scoring
Objectives: To analyze the Continuing Medical Education (CME) program developed at the Hospital I... more Objectives: To analyze the Continuing Medical Education (CME) program developed at the Hospital Israelita Albert Einstein, formally initiated in 2002, carried out in six successive 12-month cycles and focused on participating physicians, as to compliance with the program over time and as to educational production measured by a credit system. Methods: This is a descriptive (population) study that used a
Objective: To investigate how often physicians identify and treat tobacco dependence and whether ... more Objective: To investigate how often physicians identify and treat tobacco dependence and whether characteristics as gender, age, marital status, medical specialty and smoking status can influence their attitude towards this question. Methods: A cross-sectional study was performed on 515 physicians working in a private hospital in São Paulo, Brazil, using a confidential voluntary questionnaire sent and answered electronically. Results: We found that 89% of physicians who answered the research questionnaire often or always asked their patients about smoking habits, but only 39% often or always treated patients' tobacco dependence. In our sample, 5.8% of individuals were current smokers. Tobacco dependent physicians provided less treatment for smoking dependence compared with those who had never smoked, or were former smokers. Being a clinician was associated with higher probability to treat tobacco dependence. Conclusion: Physicians should not only address patients' smoking habits but also provide treatment whenever tobacco dependence is diagnosed. To understand physicians' attitude towards smoking may help to develop strategies to stimulate patients' treatment. The development of smoking cessation programs meant specifically for physicians may also be a strategy to enhance patients' treatment.
Objective: Physician participation in Continuing Medical Education programs may be influenced by ... more Objective: Physician participation in Continuing Medical Education programs may be influenced by a number of factors. To evaluate the factors associated with compliance with the Continuing Medical Education requirements at a private hospital, we investigated whether physicians' activity, measured by volumes of admissions and procedures, was associated with obtaining 40 Continuing Medical Education credits (40 hours of activities) in a 12-month cycle. Methods: In an exclusive and non-mandatory Continuing Medical Education program, we collected physicians' numbers of hospital admissions and numbers of surgical procedures performed. We also analyzed data on physicians' time since graduation, age, and gender. Results: A total of 3,809 credentialed, free-standing, private practice physicians were evaluated. Univariate analysis showed that the Continuing Medical Education requirements were more likely to be achieved by male physicians (odds ratio 1.251; p=0.009) and who had a higher number of hospital admissions (odds ratio 1.022; p<0.001). Multivariate analysis showed that age and number of hospital admissions were associated with achievement of the Continuing Medical Education requirements. Each hospital admission increased the chance of achieving the requirements by 0.4%. Among physicians who performed surgical procedures, multivariate analysis showed that male physicians were 1.3 time more likely to achieve the Continuing Medical Education requirements than female physicians. Each surgical procedure performed increased the chance of achieving the requirements by 1.4%. Conclusion: The numbers of admissions and number of surgical procedures performed by physicians at our hospital were associated with the likelihood of meeting the Continuing Medical Education requirements. These findings help to shed new light on our Continuing Medical Education program.
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