Manpower resources for research.

Abstract:

:Several trends in medical education affect our supply of future physicians. The number of new physicians has increased so that each year there is an excess of about 6000 over the number of physicians produced per year a decade ago. Increasing numbers of women and members of minority groups are entering the profession as well. These new students are being subjected to increased social pressures to elect primary-care careers, and although there is ample evidence that a significant portion will continue to choose subspecialty careers, fewer of them may be interested in traditional academic and research careers. We must make academic and research careers sufficiently attractive so that an adequate manpower resource of physicians is maintained for the future. This can be done by improving the structure of training programs and by fostering research opportunities for young investigators.

journal_name

Ann Intern Med

authors

Cooper JA

doi

10.7326/0003-4819-89-5-806

subject

Has Abstract

pub_date

1978-11-01 00:00:00

pages

806-8

issue

5 Pt 2 Suppl

eissn

0003-4819

issn

1539-3704

journal_volume

89

pub_type

杂志文章
  • Adenosine for paroxysmal supraventricular tachycardia: dose ranging and comparison with verapamil. Assessment in placebo-controlled, multicenter trials. The Adenosine for PSVT Study Group.

    abstract:OBJECTIVE:To assess the safety and efficacy of intravenous adenosine in terminating acute episodes of paroxysmal supraventricular tachycardia. DESIGN:Two prospective, double-blind, randomized, placebo-controlled trials to evaluate dose response in patients receiving adenosine and to compare the effects of adenosine wi...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.7326/0003-4819-113-2-104

    authors: DiMarco JP,Miles W,Akhtar M,Milstein S,Sharma AD,Platia E,McGovern B,Scheinman MM,Govier WC

    更新日期:1990-07-15 00:00:00

  • Peripheral nerves regenerated in familial amyloid polyneuropathy after liver transplantation.

    abstract:BACKGROUND:Liver transplantation holds promise as a treatment for familial amyloid polyneuropathy. OBJECTIVE:To determine whether peripheral nerves regenerate in patients with familial amyloid polyneuropathy after liver transplantation. DESIGN:Case report. SETTING:University hospital in Matsumoto, Japan. PATIENT:A ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-127-8_part_1-199710150-00006

    authors: Ikeda S,Takei Y,Yanagisawa N,Matsunami H,Hashikura Y,Ikegami T,Kawasaki S

    更新日期:1997-10-15 00:00:00

  • Treatment of infections in patients with the acquired immunodeficiency syndrome.

    abstract::The microorganisms that regularly infect patients with the acquired immunodeficiency syndrome (AIDS) have become well recognized. Most take advantage of defects in T-lymphocyte function, but others, such as Streptococcus pneumoniae and Haemophilus influenzae, take advantage of B-cell defects. Still others, such as Sta...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-103-5-738

    authors: Armstrong D,Gold JW,Dryjanski J,Whimbey E,Polsky B,Hawkins C,Brown AE,Bernard E,Kiehn TE

    更新日期:1985-11-01 00:00:00

  • Radiation-Induced Breast Cancer Incidence and Mortality From Digital Mammography Screening: A Modeling Study.

    abstract:BACKGROUND:Estimates of risk for radiation-induced breast cancer from mammography screening have not considered variation in dose exposure or diagnostic work-up after abnormal screening results. OBJECTIVE:To estimate distributions of radiation-induced breast cancer incidence and mortality from digital mammography scre...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M15-1241

    authors: Miglioretti DL,Lange J,van den Broek JJ,Lee CI,van Ravesteyn NT,Ritley D,Kerlikowske K,Fenton JJ,Melnikow J,de Koning HJ,Hubbard RA

    更新日期:2016-02-16 00:00:00

  • Continuing controversies in the management of thyroid nodules.

    abstract::Although thyroid nodules are common, few are malignant and require surgical treatment. A systematic approach to their evaluation is important to avoid unnecessary surgery. Fine-needle aspiration biopsy has resulted in substantial improvements in diagnostic accuracy, cost reductions, and higher malignancy yield at time...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-142-11-200506070-00011

    authors: Castro MR,Gharib H

    更新日期:2005-06-07 00:00:00

  • Oral acyclovir to suppress frequently recurrent herpes labialis. A double-blind, placebo-controlled trial.

    abstract:OBJECTIVE:To determine whether oral acyclovir reduces the incidence of recurrent herpes labialis in otherwise healthy patients with proven frequently recurrent disease. DESIGN:Randomized, double-blind, placebo-controlled, crossover trial. SETTING:Outpatient facility of the Clinical Center, National Institutes of Heal...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.7326/0003-4819-118-4-199302150-00004

    authors: Rooney JF,Straus SE,Mannix ML,Wohlenberg CR,Alling DW,Dumois JA,Notkins AL

    更新日期:1993-02-15 00:00:00

  • A prospective evaluation of a protocol for magnetic resonance imaging of patients with implanted cardiac devices.

    abstract:BACKGROUND:Magnetic resonance imaging (MRI) is avoided in most patients with implanted cardiac devices because of safety concerns. OBJECTIVE:To define the safety of a protocol for MRI at the commonly used magnetic strength of 1.5 T in patients with implanted cardiac devices. DESIGN:Prospective nonrandomized trial. (C...

    journal_title:Annals of internal medicine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.7326/0003-4819-155-7-201110040-00004

    authors: Nazarian S,Hansford R,Roguin A,Goldsher D,Zviman MM,Lardo AC,Caffo BS,Frick KD,Kraut MA,Kamel IR,Calkins H,Berger RD,Bluemke DA,Halperin HR

    更新日期:2011-10-04 00:00:00

  • Biliary sludge and gallstones in pregnancy: incidence, risk factors, and natural history.

    abstract:OBJECTIVE:To evaluate the incidence and symptoms of and risk factors for biliary sludge and gallstones during pregnancy and to assess the natural history of these conditions in the first year after delivery. DESIGN:Cohort study. PATIENTS:A total of 272 pregnant women recruited in the first trimester. MEASUREMENTS:Bi...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-119-2-199307150-00004

    authors: Maringhini A,Ciambra M,Baccelliere P,Raimondo M,Orlando A,Tinè F,Grasso R,Randazzo MA,Barresi L,Gullo D,Musico M,Pagliaro L

    更新日期:1993-07-15 00:00:00

  • Why some health policies don't make sense at the bedside.

    abstract::Cost-effectiveness analysis and other forms of decision analysis are becoming more common in the medical literature and are increasingly influential in the development of health policy. Nevertheless, many clinicians find it difficult to apply policies developed from these analyses to individual encounters with patient...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-122-11-199506010-00007

    authors: Asch DA,Hershey JC

    更新日期:1995-06-01 00:00:00

  • The declining number and variety of procedures done by general internists: a resurvey of members of the American College of Physicians.

    abstract:BACKGROUND:A survey of general internist members of the American College of Physicians (ACP) in 1986 found that they did a large number and variety of procedures in their practices. Since then, changes in the practice of medicine, regulatory requirements, and availability of subspecialists may have affected the number ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-146-5-200703060-00007

    authors: Wigton RS,Alguire P,American College of Physicians.

    更新日期:2007-03-06 00:00:00

  • In unprotected left main CAD, revascularization with PCI and DES increased risk for MACCE vs CABG at 5 years.

    abstract:SOURCE CITATION:Holm NR, Mäkikallio T, Lindsay MM, et al. Percutaneous coronary angioplasty versus coronary artery bypass grafting in the treatment of unprotected left main stenosis: updated 5-year outcomes from the randomised, non-inferiority NOBLE trial. Lancet. 2019;395:191-9. 31879028. ...

    journal_title:Annals of internal medicine

    pub_type: 评论,杂志文章

    doi:10.7326/ACPJ202005190-055

    authors: Vallabhajosyula S,Bell MR

    更新日期:2020-05-19 00:00:00

  • Predicting adherence to colonoscopy or flexible sigmoidoscopy on the basis of physician appointment-keeping behavior.

    abstract:BACKGROUND:Poor patient attendance to scheduled flexible sigmoidoscopy or colonoscopy may contribute to deficient colorectal cancer screening. OBJECTIVE:To examine the association of physician appointment-keeping behavior with attendance to scheduled endoscopic studies of the colon. DESIGN:Retrospective cohort. SETT...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-140-7-200404060-00013

    authors: Turner BJ,Weiner M,Yang C,TenHave T

    更新日期:2004-04-06 00:00:00

  • Unrelated donor bone marrow transplantation for chronic myelogenous leukemia: a decision analysis.

    abstract:BACKGROUND:Chronic myelogenous leukemia (CML) is an indolent but ultimately fatal disease. Because the natural history of CML varies and quality of life with CML may be excellent until shortly before death, deciding whether and when to pursue unrelated donor bone marrow transplantation is often difficult. OBJECTIVE:To...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-127-12-199712150-00005

    authors: Lee SJ,Kuntz KM,Horowitz MM,McGlave PB,Goldman JM,Sobocinski KA,Hegland J,Kollman C,Parsons SK,Weinstein MC,Weeks JC,Antin JH

    更新日期:1997-12-15 00:00:00

  • Screening for family and intimate partner violence: recommendation statement.

    abstract::This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for family and intimate partner violence, based on the USPSTF's examination of evidence specific to family and intimate partner violence, and updates the 1996 recommendations on this topic. In 1996, the USPSTF found...

    journal_title:Annals of internal medicine

    pub_type: 指南,杂志文章,实务指引

    doi:10.7326/0003-4819-140-5-200403020-00014

    authors: U. S. Preventive Services Task Force.

    更新日期:2004-03-02 00:00:00

  • Prevalence of Human Papillomavirus and Estimation of Human Papillomavirus Vaccine Effectiveness in Thimphu, Bhutan, in 2011-2012 and 2018 : A Cross-sectional Study.

    abstract:BACKGROUND:Bhutan implemented a national program for human papillomavirus (HPV) vaccination in 2010 involving girls aged 12 to 18 years and achieving nearly 90% coverage. OBJECTIVE:To estimate HPV vaccine effectiveness in a city in Bhutan. DESIGN:2 cross-sectional surveys, 2011-2012 and 2018. SETTING:2 hospitals in ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/M20-2849

    authors: Baussano I,Tshomo U,Tenet V,Heideman DAM,Wangden T,Franceschi S,Clifford GM

    更新日期:2020-12-01 00:00:00

  • Cost-effectiveness of alternative test strategies for the diagnosis of coronary artery disease.

    abstract:BACKGROUND:The appropriate roles for several diagnostic tests for coronary disease are uncertain. OBJECTIVE:To evaluate the cost-effectiveness of alternative approaches to diagnosis of coronary disease. DESIGN:Meta-analysis of the accuracy of alternative diagnostic tests plus decision analysis to assess the health ou...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,meta分析

    doi:10.7326/0003-4819-130-9-199905040-00003

    authors: Garber AM,Solomon NA

    更新日期:1999-05-04 00:00:00

  • Bullets, lead poisoning and thyrotoxicosis.

    abstract::A patient with a retained bullet developed lead poisoning in association with thyrotoxicosis. The clinical and laboratory data suggest that lead was mobilized from an increased mobile bone pool during the hypermetabolic period with resultant poisoning. The findings give factual support to earlier concepts that lead po...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-89-4-509

    authors: Cagin CR,Diloy-Puray M,Westerman MP

    更新日期:1978-10-01 00:00:00

  • Serious hepatitis A: an analysis of patients hospitalized during an urban epidemic in the United States.

    abstract:BACKGROUND:Memphis and Shelby County, Tennessee, experienced an epidemic of hepatitis A in 1994 and 1995. More than 1700 cases were reported. OBJECTIVE:To characterize the clinical features of patients hospitalized during a large urban epidemic of hepatitis A. DESIGN:Retrospective chart review. SETTING:15 acute care...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.7326/0003-4819-128-2-199801150-00006

    authors: Willner IR,Uhl MD,Howard SC,Williams EQ,Riely CA,Waters B

    更新日期:1998-01-15 00:00:00

  • Red blood cell transfusion: a clinical practice guideline from the AABB*.

    abstract:DESCRIPTION:Although approximately 85 million units of red blood cells (RBCs) are transfused annually worldwide, transfusion practices vary widely. The AABB (formerly, the American Association of Blood Banks) developed this guideline to provide clinical recommendations about hemoglobin concentration thresholds and othe...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,实务指引,评审

    doi:10.7326/0003-4819-157-1-201206190-00429

    authors: Carson JL,Grossman BJ,Kleinman S,Tinmouth AT,Marques MB,Fung MK,Holcomb JB,Illoh O,Kaplan LJ,Katz LM,Rao SV,Roback JD,Shander A,Tobian AA,Weinstein R,Swinton McLaughlin LG,Djulbegovic B,Clinical Transfusion Medicine Com

    更新日期:2012-07-03 00:00:00

  • Strategies to identify the Lynch syndrome among patients with colorectal cancer: a cost-effectiveness analysis.

    abstract:BACKGROUND:Testing has been advocated for all persons with newly diagnosed colorectal cancer to identify families with the Lynch syndrome, an autosomal dominant cancer-predisposition syndrome that is a paradigm for personalized medicine. OBJECTIVE:To estimate the effectiveness and cost-effectiveness of strategies to i...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-155-2-201107190-00002

    authors: Ladabaum U,Wang G,Terdiman J,Blanco A,Kuppermann M,Boland CR,Ford J,Elkin E,Phillips KA

    更新日期:2011-07-19 00:00:00

  • Adverse effects of D-penicillamine in rheumatoid arthritis.

    abstract::Adverse effects to D-penicillamine were studied prospectively over 3 years in 259 patients with rheumatoid arthritis. Ninety-five percent had had gold therapy previously, yet 70% benefited from D-penicillamine therapy. Of the 275 courses given, 160 (58%) were complicated by at least one reaction, including rashes (44%...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-92-1-24

    authors: Stein HB,Patterson AC,Offer RC,Atkins CJ,Teufel A,Robinson HS

    更新日期:1980-01-01 00:00:00

  • Detection of aortic insufficiency by standard echocardiography, pulsed Doppler echocardiography, and auscultation. A comparison of accuracies.

    abstract::To determine the relative sensitivity and specificity of noninvasive methods for detecting aortic insufficiency, we compared the accuracy of auscultation, echocardiography, and pulsed Doppler echocardiography in detecting aortic insufficiency in 106 patients in whom the presence or absence of the lesion was shown by s...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-104-5-599

    authors: Grayburn PA,Smith MD,Handshoe R,Friedman BJ,DeMaria AN

    更新日期:1986-05-01 00:00:00

  • Physician manpower expansionism: a policy review.

    abstract::A lack of national health goals has allowed physician manpower policy to be dominated by an expansionist philosophy. Scarce resources have been channeled into the production of specialist physicians trained to provide complex and expensive care for uncommon diseases, using other scare and expensive resources and addin...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-90-2-249

    authors: Bloom BS,Peterson OL

    更新日期:1979-02-01 00:00:00

  • Digitoxin elimination reduced during quinidine therapy.

    abstract::Elevated serum digoxin concentrations and clinical toxicity have been reported in patients receiving quinidine. The present study was undertaken to ascertain whether a similar interaction occurs between quinidine and another cardiac glycoside, digitoxin, and if so to evaluate the pharmacokinetic basis in five healthy ...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-94-1-35

    authors: Garty M,Sood P,Rollins DE

    更新日期:1981-01-01 00:00:00

  • Alpha1-antitrypsin deficiency with severe panniculitis. Report of two cases.

    abstract::Two patients with profound decrease of alpha1-antitrypsin (PiZZ) presented with severe pannicultis (Weber-Christian disease); one had systemic panniculitis including pancreatitis. Another possible case is quoted from the literature. Although milder forms of panniculitis can have normal Pi phenotypes and alpha1-antitry...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-86-6-742

    authors: Rubinstein HM,Jaffer AM,Kudrna JC,Lertratanakul Y,Chandrasekhar AJ,Slater D,Schmid FR

    更新日期:1977-06-01 00:00:00

  • 12-month outcomes of community engagement versus technical assistance to implement depression collaborative care: a partnered, cluster, randomized, comparative effectiveness trial.

    abstract:BACKGROUND:Depression collaborative care implementation using community engagement and planning (CEP) across programs improves 6-month client outcomes in minority communities, compared with technical assistance to individual programs (resources for services [RS]). However, 12-month outcomes are unknown. OBJECTIVE:To c...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.7326/M13-3011

    authors: Chung B,Ong M,Ettner SL,Jones F,Gilmore J,McCreary M,Sherbourne C,Ngo V,Koegel P,Tang L,Dixon E,Miranda J,Belin TR,Wells KB

    更新日期:2014-11-18 00:00:00

  • Implantable cardioverter-defibrillators: implications for the nonelectrophysiologist.

    abstract:PURPOSE:To review clinical scenarios in which nonelectrophysiologist physicians may interact with patients who have implantable defibrillators. DATA SOURCES:Peer-reviewed original articles and reviews addressing aspects of implantable defibrillator therapy that are relevant to the clinician. DATA SYNTHESIS:The capaci...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-122-10-199505150-00007

    authors: Pinski SL,Trohman RG

    更新日期:1995-05-15 00:00:00

  • Do life events or depression exacerbate inflammatory bowel disease? A prospective study.

    abstract:OBJECTIVE:To determine whether depressed mood or life events are associated with an exacerbation of inflammatory bowel disease. DESIGN:A prospective study of a consecutive sample of patients with relapsing inflammatory bowel disease, followed by monthly questionnaires and periodic office visits. SETTING:A referral-ba...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-114-5-381

    authors: North CS,Alpers DH,Helzer JE,Spitznagel EL,Clouse RE

    更新日期:1991-03-01 00:00:00

  • Nervous system complications in uremia.

    abstract::In patients with end-stage renal disease, nervous system dysfunction remains a major cause of disability. Patients with chronic renal failure who have not yet received dialysis may have symptoms ranging from mild sensorial clouding to delirium and coma. Dialysis itself is associated with at least three distinct disord...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章,评审

    doi:10.7326/0003-4819-109-2-143

    authors: Fraser CL,Arieff AI

    更新日期:1988-07-15 00:00:00

  • Type III hyperlipoproteinemia: diagnosis in whole plasma by apolipoprotein-E immunoassay.

    abstract::Because the cholesterol-rich very low density (VLD) lipoproteins of subjects with type III hyperlipoproteinemia are distinctively enriched in apolipoprotein E, a radial immunodiffusion assay for apolipoprotein E in whole plasma was developed. Its diagnostic usefulness was tested in randomly selected (n = 174) and hype...

    journal_title:Annals of internal medicine

    pub_type: 杂志文章

    doi:10.7326/0003-4819-87-5-509

    authors: Kushwaha RS,Hazzard WR,Wahl PW,Hoover JJ

    更新日期:1977-11-01 00:00:00