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1. Taking a systems approach to promote posttraumatic growth: A position paper.

Author

Call, Megan E., Walker, Heather R., Good, Michael L., Borgenicht, Joe, Case, Gretchen A., and Locke, Amy B.

Abstract

As health systems emerge from the pandemic, academic medical centres are motivated to have a healthy and resilient workforce. In the face of the collective traumas of the pandemic, we took a systems approach to infuse wellness into our culture by modelling collective recovery in a non-traditional town hall. Over a dozen senior leaders, faculty, staff, and students shared their personal experiences in a virtual forum, nearly 1000 attendees communally supported one another. Since the town hall, a recording of the experience has been broadly viewed, messaging from leaders proliferated, and smaller versions of the same exercise were implemented. At a time when academic medical centres faced multiple challenges, we chose to first value the well-being of our staff at a system-wide level. It is our hope that other academic medical centres leverage our story to hold space for the experiences of the people who make their work possible. [ABSTRACT FROM AUTHOR]

Published
2024
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7. Contributors

Author

Abel, Robert, primary, Ali, Ather, additional, Balk, Judith, additional, Barrett, Bruce, additional, Becker, David K., additional, Bergquist, Paul E., additional, Bodemer, Apple A., additional, Bonakdar, Robert Alan, additional, Bora, Samudragupta, additional, Bora, Suhani, additional, Brown, Amy C., additional, Coeytaux, Remy R., additional, Dahmer, Stephen, additional, Dandurand, Douglas E., additional, Dattner, Alan M., additional, Degenhardt, Brian, additional, Desai, Gautam J., additional, Devries, Stephen, additional, Dowling, Dennis J., additional, Drisko, Jeanne A., additional, Dusek, Jeffery, additional, Earl, Connie J., additional, Edwards, Robert Z., additional, Eichenseher, Joseph, additional, Figurski, Ann C., additional, Filippelli, Amanda C., additional, Fortney, Luke, additional, Gaby, Alan R., additional, Gagné, Louise, additional, Gardiner, Paula, additional, Gaudet, Tracy, additional, Geller, Jeffrey, additional, Gergen-Barnett, Katherine, additional, Gordon, Andrea, additional, Greenfield, Russell H., additional, Grobel, Hana, additional, Guilliams, Thomas G., additional, Gurgevich, Steven, additional, Hameed, Fasih A., additional, Hampton, Adrienne, additional, Hanaway, Patrick J., additional, Harbaugh, Joshua, additional, Harrington, John W., additional, Harvie, James, additional, Hayer, Supriya, additional, Hernke, Michael, additional, Hewitt, Michael J., additional, Horwitz, Randy J., additional, Houston, Mark, additional, Humphreys, Corene, additional, Ilkevitch, Alexandra, additional, Ivker, Robert S., additional, Jacobs, Bradly, additional, James, Sarah, additional, Jeong, Hwee Soo, additional, Jernberg, Julia, additional, Jonas, Wayne, additional, Karpowicz, Scott, additional, Kaufman, Amanda J., additional, Kearney, David J., additional, Kemper, Kathi J., additional, Kiefer, David, additional, Klein-Patel, Marcia, additional, Kligler, Benjamin, additional, Kogan, Mikhail, additional, Kohatsu, Wendy, additional, Kuphal, Greta J., additional, Langhorst, Jost, additional, Lawler, Taryn, additional, Lee, Richard T., additional, Lee, Roberta, additional, Lemmon, Russell, additional, Lessens, David M., additional, Levy, Sanford H., additional, Linkner, Edward (Lev), additional, Litbarg, Natalia O., additional, Lo, Yue Man Onna, additional, Locke, Amy B., additional, Love, Abigail, additional, Low Dog, Tieraona, additional, Lupiani, Junelle H., additional, Maizes, Victoria, additional, Mallory, D. Jill, additional, Mann, John Douglas, additional, Marchand, Lucille R., additional, Mark, John D., additional, Martinez, Michelle E., additional, McKinney, Richard, additional, Mertz, Michelle J., additional, Michelfelder, Aaron J., additional, Minichiello, Vincent J., additional, Moher, Matthew, additional, Muller, Daniel, additional, Mullin, Gerard E., additional, Murphy, Sarah A., additional, Myers, Harmon, additional, Naiman, Rubin, additional, Nanavati, Kaushal, additional, Nicolai, James P., additional, Nourani, Bobby, additional, Olshansky, Brian, additional, Pai, Sunil T., additional, Parian, Alyssa M., additional, Perlman, Adam I., additional, Pierce, Surya, additional, Plotnikoff, Gregory A., additional, Podein, Rian, additional, Rabago, David, additional, Rakel, David, additional, Redmer, Jacqueline, additional, Reed, Eric, additional, Rhode, Robert, additional, Rindfleisch, J. Adam, additional, Ring, Melinda, additional, Roseen, Eric J., additional, Rosenberger, Lisa, additional, Rossi, Maret, additional, Rossman, Martin L., additional, Saigal, Pooja, additional, Sakallaris, Bonnie R., additional, Sawni, Anju, additional, Schneider, Craig, additional, Schubiner, Howard, additional, Selfridge, Nancy J., additional, Sethi, Tanmeet, additional, Simmons, Adam D., additional, Simpson, Tracy L., additional, Smith, Coleen, additional, Spar, Myles, additional, Sridhar, Srivani, additional, St. John, Tina M., additional, Stewart, James A., additional, Stoler, Larry, additional, Sudak, Nancy L., additional, Takahashi, Jonathan, additional, Temple, Leslie Mendoza, additional, Utzinger, Malynn L., additional, Warne, Donald, additional, Warshowsky, Allan, additional, Weber, Michael J., additional, Weil, Andrew, additional, Weydert, Joy A., additional, Wilhite, Myrtle, additional, Wissink, Theodore, additional, Wolf, Andrew J., additional, Wolpert, Daniel, additional, Wu, Jimmy, additional, and Zgierska, Aleksandra, additional

Published
2018
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10. Contributors

Author

Abel, Robert, primary, Ali, Ather, additional, Ammon, Patricia, additional, Barrett, Bruce, additional, Bell, Iris R., additional, Bergquist, Paul E., additional, Bodemer, Apple A., additional, Bonakdar, Robert Alan, additional, Capra, Jennifer M., additional, Coeytaux, Remy R., additional, Dahmer, Stephen M., additional, Dandurand, Douglas E., additional, Dattner, Alan M., additional, Degenhardt, Brian, additional, Desai, Ankit D., additional, Desai, Gautam J., additional, Devries, Stephen, additional, Dowling, Dennis J., additional, Dusek, Jeffery, additional, Earl, Connie J., additional, Earley, Brian, additional, Eichenseher, Joseph, additional, Figurski, Ann C., additional, Fortney, Luke, additional, Gagné, Louise, additional, Galland, Leo, additional, Gardiner, Paula, additional, Gordon, Andrea, additional, Grassmann, Jeff, additional, Greenfield, Russell H., additional, Gurgevich, Steven, additional, Hameed, Fasih A., additional, Hanaway, Patrick J., additional, Harvie, James, additional, Hernke, Michael T., additional, Hewitt, Michael J., additional, Hirekatur, Ravi S., additional, Horwitz, Randy J., additional, Humphreys, Corene, additional, Ivker, Robert S., additional, Jernberg, Julia, additional, Jonas, Wayne, additional, Kaufman, Amanda J., additional, Kemper, Kathi J., additional, Khalsa, Dharma Singh, additional, Khan, Sarah K., additional, Kiefer, David, additional, Kligler, Benjamin, additional, Kohatsu, Wendy, additional, Kuphal, Greta J., additional, Lee, Roberta A., additional, Lessens, David M., additional, Linkner, Edward (Lev), additional, Onna Lo, Yue Man, additional, Locke, Amy B., additional, Lovett, Erica A., additional, Dog, Tieraona Low, additional, Lumpkin, Michael, additional, Lupiani, Junelle H., additional, Maizes, Victoria, additional, Maker-Clark, Geeta, additional, Mallory, D. Jill, additional, Mann, John Douglas, additional, Marchand, Lucille R., additional, Mark, John D., additional, Massey, Patrick B., additional, McBride, Patrick E., additional, McClure, Mark W., additional, Temple, Leslie Mendoza, additional, Mertz, Michelle J., additional, Michelfelder, Aaron J., additional, Muller, Daniel, additional, Mumber, Matthew P., additional, Myers, Harmon, additional, Nahas, Richard, additional, Naiman, Rubin, additional, Najm, Wadie I., additional, Newmark, Sanford C., additional, Nicolai, James P., additional, Olshansky, Brian, additional, Pai, Sunil T., additional, Park, Danna, additional, Perlman, Adam I., additional, Pierce, Surya, additional, Platt, Judy, additional, Plotnikoff, Gregory A., additional, Podein, Rian J., additional, Rabago, David, additional, Rakel, David, additional, Reed, Gayle, additional, Rhode, Robert, additional, Rindfleisch, J. Adam, additional, Ring, Melinda, additional, Rosen, Lawrence D., additional, Rosenberger, Lisa, additional, Rossman, Martin L., additional, Saper, Robert B., additional, Schneider, Craig, additional, Schubiner, Howard, additional, Selfridge, Nancy J., additional, Sethi, Tanmeet, additional, Silverman, Howard, additional, Simmons, Adam D., additional, Smith, Coleen, additional, Smith, Pamela W., additional, St. John, Tina M., additional, Stanton, Alicia, additional, Stevans, Joel M., additional, Stoler, Larry, additional, Sudak, Nancy L., additional, Teitelbaum, Jacob, additional, Underbakke, Gail, additional, Utzinger-Wheeler, Malynn L., additional, Warne, Donald, additional, Warshowsky, Allan, additional, Weil, Andrew, additional, Weydert, Joy A., additional, Wilhite, Myrtle, additional, Wissink, Ted, additional, Wolf, Andrew J., additional, Wu, Jimmy, additional, Zager, Sean H., additional, and Zgierska, Aleksandra, additional

Published
2012
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12. Contributors

Author

Abel, Robert, Jr., Alschuler, Lise, Barrett, Bruce, Becker, David, Bilir, Birdal, Bodemer, Apple A., Bonakdar, Robert Alan, Bora, Suhani, Brown, Amy C., Condon, Paul, Dahmer, Stephen M., Degenhardt, Brian, Desai, Gautam J., Devries, Stephen, Dowling, Dennis J., Drisko, Jeanne A., Dubey, Jared, Duncan, Catherine, Dusek, Jeffery A., Edwards, Robert Z., Filippelli, Amanda C., Filmalter, Sara, Fortney, Luke, Gaby, Alan R., Gagné, Louise, Galchutt, Paul, Gandhi, Vani, Gardiner, Paula, Gaudet, Tracy, Geller, Jeffrey, Ghouse, Amrien, Glass, Oliver, Greenfield, Russell H., Guilliams, Thomas G., Gurgevich, Steven, Hameed, Fasih A., Hampton, Adrienne, Harrington, John W., Harvie, Jamie, Holingue, Calliope, Horwitz, Randy J., Houston, Mark, Ilkevitch, Alexandra, Ivker, Robert S., Jacobs, Bradly, Jain, Priya, Jonas, Wayne B., Kamprath, Sagar, Karpowicz, Scott, Kaufman, Amanda J., Kearney, David J., Kligler, Ben, Kogan, Mikhail, Kohatsu, Wendy, Kopacz, David R., Kosai, Yoshito, Kucuk, Omer, Kuphal, Greta J., Langhorst, Jost, Lawler, Sarah, Lee, Eugene C., Lee, Richard T., Lee, Roberta A., Leeman, Larry, Lemmon, Russell, Lessens, David, Levy, Sanford H., O. Litbarg, Natalia, Onna Lo, Yue Man, Locke, Amy B., Low Dog, Tieraona, Luckett, Andrew, Maizes, Victoria, Makransky, John, Marchand, Lucille R., Mark, John D., Mathis, Samuel E., McKinney, Richard, Minichiello, Annmae C., Joseph Minichiello, Vincent, Moher, Matthew, Mote, Christopher, Muller, Daniel, Mullin, Gerard E., Murphy, Sarah A., Myrland, Steve, Naiman, Rubin, Nanavati, Kaushal B., Neilson, Eric, Newmark, Sanford, Nourani, Bobby, Olshansky, Brian, Pai, Sunil T., Palushaj, Bianca, Parian, Alyssa M., Perlman, Adam I., Pierce, Surya, Plotnikoff, Gregory A., Rabago, David, Rakel, David, Reddy, Shilpa, Rhode, Robert, Adam Rindfleisch, J., Ring, Melinda, Rossi, Maret, Rossman, Martin L., Rowe, Aimee, Saigal, Pooja, Sakallaris, Bonnie R., Schneider, Craig, Schubiner, Howard, Selfridge, Nancy J., Greg Serpa, J., Sethi, Tanmeet, Kamlesh Shah, Sagar, Shroff, Puneet, Sierpina, Victor S., Simmons, Adam D., Smeltzer, Katie E., Smith, Coleen, Spar, Myles, Sridhar, Srivani, St. John, Tina M., Stewart, James A., Sudak, Nancy L., Sullivan, Jude, Takahashi, Jonathan B., Mendoza Temple, Leslie, Utzinger, Malynn, Wahls, Terry, Warne, Donald, Warner, Wendy, Warshowsky, Allan, Weber, Mike, Weil, Andrew, Weydert, Joy A., Wilhite, Myrtle, Wissink, Ted, Wu, Jimmy, Yeh, Gloria Y., and Zisman, Corina R.

Published
2023
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18. Translating the 2020–2025 U.S. Dietary Guidelines into Clinical Practice.

Author

Locke, Amy B. and Goossen, Rachel

Subjects
BABY foods, VEGETARIANS, EVIDENCE-based management, DASH diet, NUTRITION, FOOD habits, SCIENTIFIC literature, FOOD allergy
Abstract

An editorial is presented on the U.S. Dietary Guidelines and the accompanying materials give excellent guidance on choosing a healthy diet, with a focus on increasing consumption of vegetables and fruits and reducing consumption of refined sugar. It mentions about conflicts of interest with the agriculture and food industries are reduced, the guidelines will more closely align with the scientific data supporting a primarily plant-based, minimally processed diet for Americans.

Published
2021

20. Diagnosis and management of generalized anxiety disorder and panic disorder in adults.

Author

Locke, Amy B, Kirst, Nell, and Shultz, Cameron G

Abstract

Generalized anxiety disorder (GAD) and panic disorder (PD) are among the most common mental disorders in the United States, and they can negatively impact a patient's quality of life and disrupt important activities of daily living. Evidence suggests that the rates of missed diagnoses and misdiagnosis of GAD and PD are high, with symptoms often ascribed to physical causes. Diagnosing GAD and PD requires a broad differential and caution to identify confounding variables and comorbid conditions. Screening and monitoring tools can be used to help make the diagnosis and monitor response to therapy. The GAD-7 and the Severity Measure for Panic Disorder are free diagnostic tools. Successful outcomes may require a combination of treatment modalities tailored to the individual patient. Treatment often includes medications such as selective serotonin reuptake inhibitors and/or psychotherapy, both of which are highly effective. Among psychotherapeutic treatments, cognitive behavior therapy has been studied widely and has an extensive evidence base. Benzodiazepines are effective in reducing anxiety symptoms, but their use is limited by risk of abuse and adverse effect profiles. Physical activity can reduce symptoms of GAD and PD. A number of complementary and alternative treatments are often used; however, evidence is limited for most. Several common botanicals and supplements can potentiate serotonin syndrome when used in combination with antidepressants. Medication should be continued for 12 months before tapering to prevent relapse. [ABSTRACT FROM AUTHOR]

Published
2015

21. Health Maintenance in School-aged Children: Part II. Counseling Recommendations.

Author

RILEY, MARGARET, LOCKE, AMY B., and SKYE, ERIC P.

Subjects
MEDICAL examinations of children, MEDICAL screening, CHILDREN'S health, PERIODIC health examinations, HEALTH behavior in children
Abstract

School-aged children (kindergarten through early adolescence) are establishing patterns of behavior that may last a lifetime; therefore, it is important to counsel these patients about healthy lifestyle practices during well-child examinations. Children and families should be advised to eat a diet high in fruits, vegetables, whole grains, low-fat or nonfat dairy products, beans, fish, and lean meats, while limiting sugar, fast food, and highly processed foods. Children should engage in at least 60 minutes per day of moderate to vigorous physical activity, and screen time (e.g., television, computer, video games) should be limited to no more than one to two hours of quality programming daily. Most school-aged children require 11 hours of sleep per night. Decreased sleep is associated with behavioral issues, decreased concentration at school, and obesity. Children should brush their teeth twice per day with a toothpaste containing fluoride. Unintentional injury is the leading cause of death in this age group in the United States, and families should be counseled on traffic, water, sports, and firearm safety. Because high-risk behaviors may start in early adolescence, many experts recommend screening for tobacco, alcohol, and drug use beginning at 11 years of age. Sexually active adolescents should be counseled on protecting against sexually transmitted infections, and should be screened for these infections if indicated. [ABSTRACT FROM AUTHOR]

Published
2011

22. Health Maintenance in School-aged Children: Part I. History, Physical Examination, Screening, and Immunizations.

Author

RILEY, MARGARET, LOCKE, AMY B., and SKYE, ERIC P.

Subjects
MEDICAL examinations of children, MEDICAL screening, PERIODIC health examinations, CHILDREN'S health, IMMUNIZATION of children
Abstract

The goals of the well-child examination in school-aged children (kindergarten through early adolescence) are promoting health, detecting disease, and counseling to prevent injury and future health problems. A complete history should address any concerns from the patient and family and screen for lifestyle habits, including diet, physical activity, daily screen time (e.g., television, computer, video games), hours of sleep per night, dental care, and safety habits. School performance can be used for developmental surveillance. A full physical examination should be performed; however, the U.S. Preventive Services Task Force recommends against routine scoliosis screening and testicular examination. Children should be screened for obesity, which is defined as a body mass index at or above the 95th percentile for age and sex, and resources for comprehensive, intensive behavioral interventions should be provided to children with obesity. Although the evidence is mixed regarding screening for hypertension before 18 years of age, many experts recommend checking blood pressure annually beginning at three years of age. The American Academy of Pediatrics recommends vision and hearing screening annually or every two years in school-aged children. There is insufficient evidence to recommend screening for dyslipidemia in children of any age, or screening for depression before 12 years of age. All children should receive at least 400 IU of vitamin D daily, with higher doses indicated in children with vitamin D deficiency. Children who live in areas with inadequate fluoride in the water (less than 0.6 ppm) should receive a daily fluoride supplement. Age-appropriate immunizations should be given, as well as any missed immunizations. [ABSTRACT FROM AUTHOR]

Published
2011

23. Developing online learning modules in a family medicine residency.

Author

Skye EP, Wimsatt LA, Master-Hunter TA, and Locke AB

Subjects
Curriculum, Female, Humans, Internet, Male, Family Practice education, Internship and Residency, Teaching methods, Teaching Materials
Abstract

Background and Objectives: Online modules offer an opportunity to overcome barriers to educational delivery. Such approaches can require significant investment dependent on the development model used. There is little in the literature on the formative assessment of design and development. Better understanding is needed to determine effective methods of training and supporting faculty authors., Methods: The purpose of this study was to examine the effectiveness of Web-based modules developed by a Department of Family Medicine in delivering instruction to resident learners and to examine perceptions of the design and development process. Participants included 49 resident learners and 28 faculty and staff members as the development team. Data collection involved use of Web-based surveys, participant observation focus groups, and pretesting/posttesting. Frequency distributions and mean comparisons were used to analyze quantitative data. Participant comments were thematically analyzed., Results: Residents felt that modules met their educational goals and contributed to understanding of core content. Pretest/posttest data showed statistical improvement for a majority of modules. The use of Web authoring software for Web-based learning and scheduling time to work on the modules posed the greatest challenges to module authors., Conclusions: Formative assessment methods can provide important information to module developers and support staff to shape training, content development, and improve module ease of use, navigation, and content for resident learners.

Published
2011

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