RESUMO
In the United States, the 40 colleges of osteopathic medicine and 157 schools of allopathic medicine face challenges in recruiting candidates who are underrepresented in medicine (URiM), and gaps in racial disparity appear to be widening. In this commentary, the authors provide an analysis of the data collected from 8 years of conducting a URiM recruitment and welcoming social events. The event is sponsored by a student special interest group called Creating Osteopathic Minority Physicians Who Achieve Scholastic Success (COMPASS) at the Touro College of Osteopathic Medicine - New York (TouroCOM-NY). The results of the 8-year data analysis supports the conclusion that the COMPASS program has benefited the school environment through increased diversity.
Assuntos
Diversidade Cultural , Medicina Osteopática , Critérios de Admissão Escolar , Faculdades de Medicina , Medicina Osteopática/educação , Humanos , Estados Unidos , Grupos Minoritários , Médicos OsteopáticosAssuntos
Competência Clínica/estatística & dados numéricos , Educação de Pós-Graduação em Medicina/métodos , Conhecimentos, Atitudes e Prática em Saúde , Medicina Osteopática/métodos , Competência Clínica/normas , Educação de Pós-Graduação em Medicina/normas , Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Humanos , Medicina Osteopática/normas , Medicina Osteopática/estatística & dados numéricos , Qualidade da Assistência à Saúde , Estados UnidosAssuntos
Médicos Graduados Estrangeiros/normas , Internato e Residência , Medicina Osteopática/estatística & dados numéricos , Sociedades Médicas , Médicos Graduados Estrangeiros/estatística & dados numéricos , Médicos Graduados Estrangeiros/provisão & distribuição , Humanos , Medicina Osteopática/normas , Estados UnidosRESUMO
CONTEXT: Guidelines on the use of prophylaxis in venous thromboembolism (VTE) are poorly implemented in clinical practice. OBJECTIVE: To evaluate the extent to which the American College of Chest Physicians (ACCP) 2001 guidelines on VTE prophylaxis are adhered to in clinical practice by determining whether patients admitted to a medical center with an objective diagnosis of VTE had received adequate prophylaxis. METHODS: The medical records of medical and surgery patients with an objective diagnosis of VTE were reviewed. Patients were classified as having either preventable or nonpreventable VTE according to indication for prophylaxis, VTE risk, and adequacy of prophylaxis if administered. Adequacy was determined by adherence to the ACCP 2001 guidelines. RESULTS: Of 44 patients, 17 (38.6%) had not received adequate prophylaxis and were classified as having potentially preventable VTE. Venous thromboembolism developed in the remaining 27 (61.4%) patients despite adequate prophylaxis. In general, adequate prophylaxis rates were lower among surgery patients compared with medical patients. Four (80%) of the very-high-risk surgery patients received inadequate prophylaxis. The most common VTE risk factor in both categories was immobility. CONCLUSIONS: Adherence to the ACCP guidelines is suboptimal, with a substantial proportion of patients with VTE receiving inadequate prophylaxis. The additional finding that the incidence of VTE is high despite adequate prophylaxis indicates that the guidelines may need to be reevaluated.