RESUMEN
PURPOSE: To evaluate graduates of the first 5 years of the Introduction to Research program, sponsored by the Radiological Society of North America, Association of University Radiologists, and American Roentgen Ray Society, to determine if they more frequently entered and demonstrated early success in academic careers than did nonparticipants. MATERIALS AND METHODS: In 1997, the authors surveyed all 396 program participants for the 1990-1995 period and 2,047 nonparticipants who were in the same residencies as the participants during that period. Career plans, research participation, and academic achievements were compared. RESULTS: The survey was completed by 321 participants (81%) and 1,153 nonparticipants (56%). More than a third of participants thought the program had a strong effect on their initial career decision. Forty-one percent of participants who completed training (n = 192) were currently in academia versus 26% of nonparticipants (n = 676; P = .001). Of the 321 participants, 35% believed they would spend most of their careers in academia and 15% thought research would be their major focus versus 19% and 8% for the 1,153 nonparticipants (P < .001). Participants had higher levels of academic achievement earlier in their careers than did nonparticipants. CONCLUSION: The Introduction to Research program is encouraging the development of successful research careers. However, the results may be influenced by the self- or departmental selection of participants who were oriented toward research independent of program participation.
Asunto(s)
Selección de Profesión , Internado y Residencia , Radiología/educación , Sociedades Médicas , Logro , Actitud del Personal de Salud , Recolección de Datos , Humanos , Investigación/educación , Estados UnidosRESUMEN
The purpose of this article is to examine 10 steps analyzing the financial impact on a periodontal practice accepting a proposed managed care dental plan. It is emphasized that this analysis should be conducted before formally agreeing to accept the proposed plan. The procedures for examining the 10 steps include the use of hypothetical data for a periodontal practice confronted with a discounted fee plan. Each step is identified, discussed, and the hypothetical data are used to develop results presented in a set of tables. The steps in the analysis process include constructing a practice profit and loss statement and developing a dataset of practice characteristics and productivity measures. Other estimates should be made of covered lives, new patient utilization, existing patient utilization, utilization of non-covered services, estimating other sources of revenue and expense, and the impact on capacity utilization of operatories and practice staff. Results are presented in a set of analysis tables. The importance of multiple analyses is discussed as is the importance of analyzing the impact on results from changing assumptions. Some of the higher risk variables faced by the practitioner are identified for submission to risk evaluation to examine the sensitivity of results. Finally, the relationship between the proposed plan and the additional time required by the periodontist to meet the plan's specifications is examined in light of the data developed in the 10 steps and the results tables.
Asunto(s)
Programas Controlados de Atención en Salud/economía , Modelos Económicos , Periodoncia/economía , Administración de la Práctica Odontológica/economía , Servicios Contratados/economía , Costos y Análisis de Costo , Atención Odontológica/estadística & datos numéricos , Clínicas Odontológicas/economía , Personal de Odontología/economía , Eficiencia Organizacional , Honorarios Odontológicos , Administración Financiera/economía , Administración Financiera/organización & administración , Humanos , Renta , Seguro Odontológico/economía , Periodoncia/organización & administración , Administración de la Práctica Odontológica/organización & administración , Medición de Riesgo , Factores de Riesgo , Sensibilidad y Especificidad , Factores de TiempoRESUMEN
The past couple of years have given U.S. dentists a lot to think about. OSHA regulations, a declining economy, lingering concerns about fluoridation, dental amalgam and safety in health care settings have captured the attention of dentists everywhere.
Asunto(s)
Odontólogos , Control de Infecciones/economía , Control de Infecciones/estadística & datos numéricos , Administración de la Práctica Odontológica/economía , Ropa de Protección/estadística & datos numéricos , Precauciones Universales/estadística & datos numéricos , Síndrome de Inmunodeficiencia Adquirida/transmisión , Actitud del Personal de Salud , Dispositivos de Protección de los Ojos/economía , Dispositivos de Protección de los Ojos/estadística & datos numéricos , Honorarios Odontológicos , Guantes Quirúrgicos/economía , Guantes Quirúrgicos/estadística & datos numéricos , Humanos , Máscaras/economía , Máscaras/estadística & datos numéricos , Práctica Profesional , Ropa de Protección/economía , Precauciones Universales/economíaAsunto(s)
Atención Odontológica/estadística & datos numéricos , Restauración Dental Permanente/estadística & datos numéricos , Restauración Dental Permanente/tendencias , Odontología/tendencias , Odontología Preventiva/estadística & datos numéricos , Odontología/estadística & datos numéricos , Diagnóstico Bucal/estadística & datos numéricos , Diagnóstico Bucal/tendencias , Humanos , Odontología Preventiva/tendencias , Estados UnidosRESUMEN
Two national surveys of infection control practices in 1986 and 1988 suggest several trends. A massive educational effort has brought about impressive acceptance and use of the hepatitis vaccine. Dramatic changes have occurred in respect to use of gloves and other barrier techniques. However, increased understanding of HIV infection has not, in the years surveyed, totally eradicated irrational fears about this disease.