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17 results on '"Klein, Genna"'

8. National study of continuity clinic satisfaction in pediatric fellowship training

Author

Gangat,Mariam, Klein,Genna W, Cohen,Hillel W, Heptulla,Rubina A, Gangat,Mariam, Klein,Genna W, Cohen,Hillel W, and Heptulla,Rubina A

Abstract

Mariam Gangat,1 Genna W Klein,1 Hillel W Cohen,2 Rubina A Heptulla1 1Division of Pediatric Endocrinology and Diabetes, The Children's Hospital at Montefiore, 2Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, NY, USA Background: A national online survey was conducted to evaluate pediatric subspecialty fellow satisfaction regarding continuity clinic experience. Methods: An anonymous online survey (SurveyMonkey™) was developed to evaluate demographics of the program, clinic organization, and patient and preceptor characteristics, and to compare fellow satisfaction when fellows were the primary providers with faculty supervision versus attending-run clinics assisted by fellows or a combination of the two models. Pediatric subspecialty fellows in a 3-year Accreditation Council for Graduate Medical Education accredited program in the United States (excluding emergency medicine, neonatology, and critical care) were invited to participate. Results: There were 644 respondents and nearly half (54%) of these had fellow-run clinics. Eighty-six percent of fellows responded that they would prefer to have their own continuity clinics. Higher satisfaction ratings on maintaining continuity of care, being perceived as the primary provider, and feeling that they had greater autonomy in patient management were associated with being part of a fellow-run clinic experience (all P < 0.001). Additionally, fellow-run clinics were associated with a feeling of increased involvement in designing a treatment plan based on their differential diagnosis (P < 0.001). There were no significant associations with patient or preceptor characteristics. Conclusion: Fellow-run continuity clinics provide fellows with a greater sense of satisfaction and independence in management plans. Keywords: resident education/training, workforce, pediatric, patient-provider relationship, pediatric outpatient clinic

Published
2013

13. Glycogen hepatopathy in children with poorly controlled type 1 diabetes

Author

Zhou Ping, Pan Debra H, Liu Qiang, Loizides Anthony, Klein Genna W, and Htd Vo

Subjects
Nonalcoholic steatohepatitis, Abnormal liver enzymes, medicine.medical_specialty, Type 1 diabetes, Glycogen, business.industry, Elevated liver enzymes, medicine.disease, Gastroenterology, chemistry.chemical_compound, chemistry, Diabetes mellitus, Internal medicine, medicine, Complication, business, Glycemic
Abstract

Introduction: Glycogen hepatopathy has been described in children with poorly controlled type 1 diabetes mellitus (T1DM). Diabetic patients with hepatomegaly and abnormal liver enzymes have often been assumed to have nonalcoholic steatohepatitis rather than glycogen hepatopathy. It is important to recognize and distinguish glycogen hepatopathy from nonalcoholic steatohepatitis as it impacts the management and long-term prognosis. Case Report: We describe four cases of children with poorly controlled type 1 diabetes mellitus who developed glycogen hepatopathy, and review the available literature. Conclusion: Pediatricians should raise awareness of this potentially reversible liver complication in children with poorly controlled T1DM. It has been suggested that diabetic patients with hepatomegaly and elevated liver enzymes be given a trial of improved glycemic control prior to more invasive investigation.

Published
2011

16. Reproducibility of HOMA-IR Measurements in the Evaluation of Pediatric Obese Patients.

Author

Sathasivam, Anpalakan, Wallach, Elizabeth, Patel, Arti, Klein, Genna, Hyman, Sharon, Greig, Fenella, and Rapaport, Robert

Subjects
HOMEOSTASIS, INSULIN resistance, CHILDHOOD obesity, TYPE 2 diabetes, DIABETES in children
Abstract

The article focuses on a study concerning the reproducibility of homeostatic model assessment of insulin resistance (HOMA-IR) measurements during evaluation of pediatric obese patients. The study examined the reproducibility of HOMA-IR made on two occasions in obese youth at risk for type 2 diabetes (T2D). It notes that the subjects were grouped by specified HOMA-IR levels. Results indicated that HOMA-IR for obese youth have the tendency to vary more as compared to those of obese adults.

Published
2007

17. National study of continuity clinic satisfaction in pediatric fellowship training.

Author

Gangat M, Klein GW, Cohen HW, and Heptulla RA

Abstract

Background: A national online survey was conducted to evaluate pediatric subspecialty fellow satisfaction regarding continuity clinic experience., Methods: An anonymous online survey (SurveyMonkey™) was developed to evaluate demographics of the program, clinic organization, and patient and preceptor characteristics, and to compare fellow satisfaction when fellows were the primary providers with faculty supervision versus attending-run clinics assisted by fellows or a combination of the two models. Pediatric subspecialty fellows in a 3-year Accreditation Council for Graduate Medical Education accredited program in the United States (excluding emergency medicine, neonatology, and critical care) were invited to participate., Results: There were 644 respondents and nearly half (54%) of these had fellow-run clinics. Eighty-six percent of fellows responded that they would prefer to have their own continuity clinics. Higher satisfaction ratings on maintaining continuity of care, being perceived as the primary provider, and feeling that they had greater autonomy in patient management were associated with being part of a fellow-run clinic experience (all P < 0.001). Additionally, fellow-run clinics were associated with a feeling of increased involvement in designing a treatment plan based on their differential diagnosis (P < 0.001). There were no significant associations with patient or preceptor characteristics., Conclusion: Fellow-run continuity clinics provide fellows with a greater sense of satisfaction and independence in management plans.

Published
2013
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