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PCP: Renal failure, fatigue, anorexia, worsening DOE (rest) ... Incision and. Drainage. Follow Up. Piperacillin/Tazobactam. day 5 day 7 day 8 day 22 day 23 ... – PowerPoint PPT presentation

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Title: Here your Title


1
Here your Title
  • NAME, MD
  • (Title)
  • Division of General Internal Medicine

2
Title
  • Text
  • Dsad
  • Adsadsa
  • eqweqe

3
Title Graph
  • Samama NEJM 1999 341793-800

4
Title Graph
P0.003
P0.002
5
Results Change in PerformanceIntervention vs
Control Group

15 12
Pgt0.05
6
Results - Students withNeedlestick Injury
(n157)
Characteristics 55 students 65 injuries 70
solid needle 46 suturing 25 assisting 52
self 97 hand
7
Who Washes Hands? (n60)
Me
My Attending
8
Patient Course
Hospitalization Tense Ascites
Renal dysfunction Aldactone stopped
PCP Renal failure, fatigue, anorexia, worsening
DOE (rest), orthostasis
Hypothyroidism
Thyroid Replacement
Month 0
Month 1
Month 2
9
Hospital Course
Piperacillin/Tazobactam
Vancomycin Levofloxacin
Nafcillin
day 1 day 3 day 4
day 5
Pustules G (-) rods
Admission
Ultrasound
Incision and Drainage
CT
10
Follow Up
Piperacillin/Tazobactam
Vancomycin Levofloxacin
day 5 day 7 day 8 day 22
day 23
Barium enema
Escherichia coli Morganella morganii
Colostomy
11
Rural MDs (n200)
Intervention (n100 MDs)
Control (n100 MDs)
  • MD PA NP OM
  • Internet cases, tools, pat info
  • Usual CME

Outcomes
Outcomes
  • Patient outcomes
  • Process outcomes
  • Patient outcomes
  • Process outcomes

12
Study Design
13
Impact Analysis, iRandomized Controlled Trial
(RCT)
  • Clinics/ institutions
  • Pre/ Post observations

Rule
Pre
Post
To Use Rule
Randomization
Time
Pre
Post
To not Use Rule
14
Flow Process
15
Ward Attending Rounds
16
Results CompetenceHow to write a Case Vignette
Faculty
Trainees
? Pre ? Post
Error bars 2 SEM P value, paired comparison
17
Odds Ratios for 5-year HTN Incidence, by CES-D
score group Davidson, Arch Int Med 00
18
Odds Ratios for Smoking Cessationin
African-Americans vs. Whites
19
Adrenal Insufficiency
20
Results
21
Results Nominated Factors
22
Uso del Modelo de Gail
http//www.cancer.gov/bcrisktool/
23
Normal Iron Homeostasis
N Engl J Med 20043502383-97.
24
  • CT Scan

R
R
L
R
25
Signs
  • Symbols ? ? ? ? ? ? ? ?
  • Í í Ó ón Ñ ñ Á á é ú

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