Explanipedia

Understanding clerkship experiences in emergency medicine and their potential influence on specialty selection: A qualitative study Open

Rosemarie Diaz, Sarah Balgord, Nicole Klekowski, Alexandra S. Farthing, Sylvia Guadalupe Escolero , et al. · 2024

Objectives The specialty of emergency medicine (EM) is experiencing a significant decrease in student interest. In addition, women are historically underrepresented within the specialty at all levels of training and practice. We sought to …

Institutional Review Boards' Assessment of Local Context: A Mixed Methods Study Open

Timothy C. Guetterman, Adrianne Haggins, Sacha Montas, Joy Black, Deneil Harney , et al. · 2024

The nature of the review of local context by institutional review boards (IRBs) is vague. Requirements for single IRB review of multicenter trials create a need to better understand interpretation and implementation of local‐context review…

Cultural Humility Curriculum to Address Healthcare Disparities for Emergency Medicine Residents Open

Ryan E. Tsuchida, Jessica Doan, Eve Losman, Adrianne Haggins, Robert Huang , et al. · 2023

Introduction: Emergency medicine (EM) residency programs have variable approaches to educating residents on recognizing and managing healthcare disparities. We hypothesized that our curriculum with resident-presented lectures would increas…

Facemasks: Perceptions and use in an ED population during COVID-19 Open

Vidya Eswaran, Anna Marie Chang, R. Gentry Wilkerson, Kelli N. O’Laughlin, Brian Chinnock , et al. · 2022

Study objective Facemask use is associated with reduced transmission of SARS-CoV-2. Most surveys assessing perceptions and practices of mask use miss the most vulnerable racial, ethnic, and socio-economic populations. These same population…

Issue Information Open

Alden Landry, Dowin Boatright, Teresa Y. Smith, W. Gannon Sungar, Christy Angerhofer , et al. · 2021

Developing an electronic health record–derived health equity dashboard to improve learner access to data and metrics Open

Ryan E. Tsuchida, Adrianne Haggins, Marcia Perry, C.-M. Chen, Richard P. Medlin , et al. · 2021

Objectives It is essential to engage learners in efforts aimed at dismantling racism and other contributors to health care disparities. Barriers to their involvement include limited access to data. The objective of our study was to create …

Untold stories: Emergency medicine residents’ experiences caring for diverse patient populations Open

Adrianne Haggins, Michael Clery, James Ahn, Emily Hogikyan, Sheryl Heron , et al. · 2021

Objectives The Accreditation Council for Graduate Medical Education expects specialties to teach and assess proficiency in culturally competent care. However, little guidance has emerged to achieve these goals. Clinical training within soc…

54 The Rapid Evaluation of COVID-19 Vaccination in Emergency Departments for Underserved Patients Study Open

Robert M. Rodriguez, Jesus R. Torres, Annie Chang, Adrianne Haggins, Martina T. Caldwell , et al. · 2021

The Rapid Evaluation of COVID-19 Vaccination in Emergency Departments for Underserved Patients Study Open

Robert M. Rodriguez, Jesus R. Torres, Anna Marie Chang, Adrianne Haggins, Stephanie A. Eucker , et al. · 2021

Meeting unique requirements: Community consultation and public disclosure for research in emergency setting using exception from informed consent Open

Neal W. Dickert, Kathleen E. Metz, Michael D. Fetters, Adrianne Haggins, Deneil K. Harney , et al. · 2021

Background Exception from informed consent (EFIC) regulations for research in emergency settings contain unique requirements for community consultation and public disclosure. These requirements address ethical challenges intrinsic to this …

Beneficiaries' perspectives on improved oral health and its mediators after Medicaid expansion in Michigan: a mixed methods study Open

Edith C. Kieffer, Susan Dorr Goold, Thomas C. Buchmueller, Romesh Nalliah, Erin Beathard , et al. · 2021

Objective To investigate self‐reported improved oral health and its mediators, and job‐related outcomes, of Medicaid expansion beneficiaries in Michigan. Methods This cross‐sectional mixed‐methods study of adult “Healthy Michigan Plan” (HM…

Longitudinal Trends in Enrollees’ Employment and Student Status after Medicaid Expansion Open

Renuka Tipirneni, Edith C. Kieffer, John Z. Ayanian, Minal Patel, Mattias Kirch , et al. · 2020

Medicaid “community engagement” requirement (work, school, job training, job searching, or volunteering) waivers have received CMS approval in nine states, but there are little data on current trends in Medicaid enrollees’ engagement in th…

Patterns of Enrollment Churn in Medicaid Expansion, Subsequent Insurance Coverage, and Access to Care: A Longitudinal Study Open

Susan Dorr Goold, Renuka Tipirneni, John Z. Ayanian, Erin Beathard, Tammy Chang , et al. · 2020

Understand enrollment patterns in Medicaid expansion and how churn and disenrollment affect access to care. We conducted telephone surveys with a cohort of Medicaid expansion enrollees at 3 time points in 2016, 2017, and 2018 (N = 2,608, R…

Association of Medicaid Expansion With Enrollee Employment and Student Status in Michigan Open

Renuka Tipirneni, John Z. Ayanian, Minal Patel, Edith C. Kieffer, Matthias Kirch , et al. · 2020

Employment or student status increased from 2016 to 2017 among Michigan Medicaid expansion enrollees. These findings provide information about whether Medicaid coverage or community engagement requirements are best to promote the desired o…

Health Risk Assessments in Michigan's Medicaid Expansion: Early Experiences in Primary Care Open

Eunice Zhang, Renuka Tipirneni, Erin Beathard, Sunghee Lee, Matthias Kirch , et al. · 2020

Factors influencing primary care providers' decisions to accept new Medicaid patients under Michigan's Medicaid expansion. Open

Renuka Tipirneni, Edith C. Kieffer, John Z. Ayanian, Eric G. Campbell, Cengiz Salman , et al. · 2019

In the era after Medicaid expansion, PCPs placed importance on practice capacity, specialist availability, and patients' medical and psychosocial needs when deciding whether to accept new Medicaid patients. To maintain primary care access …

Changes in Health and Ability to Work Among Medicaid Expansion Enrollees: a Mixed Methods Study Open

Renuka Tipirneni, Jeffrey T. Kullgren, John Z. Ayanian, Edith C. Kieffer, Ann‐Marie Rosland , et al. · 2018

Primary Care Clinicians’ Views About the Impact of Medicaid Expansion in Michigan: A Mixed Methods Study Open

Susan Dorr Goold, Renuka Tipirneni, Edith C. Kieffer, Adrianne Haggins, Cengiz Salman , et al. · 2018

Healthy Michigan Plan Evaluation: Primary Care Practitioners’ Views of the Impact of the Healthy Michigan Plan Open

Susan Dorr Goold, Renuka Tipirneni, Adrianne Haggins, Eric G. Campbell, Cengiz Salman , et al. · 2018

A systematic review of Federal Drug Administration Docket for community consultation and public disclosure in exception from informed consent trials Open

Adrianne Haggins, Deneil Harney, Sara L. Scott, Robert Silbergleit · 2017

Background: Exception from informed consent imposes community consultation and public disclosure requirements on clinical investigation in critically ill and injured patients. In 2011, the Food and Drug Administration instructed sponsors t…

Patient and Surrogate Views of Community Consultation for Emergency Research Open

Alexandra Fehr, Victoria M. Scicluna, Rebecca D. Pentz, Adrianne Haggins, Neal W. Dickert · 2017

Objective Pretrial community consultation ( CC ) is required for emergency research conducted under an exception from informed consent ( EFIC ) in the United States. CC remains controversial and challenging, and minimal data exist regardin…

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