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Biomedical subjects

J Bedinghaus

Publications and source records attributed to J Bedinghaus.

6 recordsLinked to original sources

Coronary artery disease prevention: what's different for women?

Cardiovascular disease is the leading cause of death in women, as well as an important cause of disability, although many women and their physicians underestimate the risk. Exercise, hypertension treatment, smoking cessation and aspirin therapy are effective measures for the primary prevention of coronary artery disease in women. The roles of lipid-lowering agents and hormone replacement therapy in primary prevention are not well established. In secondary prevention, hormone replacement therapy has not been effective in lowering the risk of recurrent myocardial infarction, but several lipid-lowering agents have been shown to reduce this risk and to lower mortality rates in women with known coronary artery disease. Other secondary prevention measures, including aspirin, beta blockers, angiotensin-converting enzyme inhibitors, revascularization and rehabilitation, have proven benefits in women but are underused, especially in minority women. Family physicians should emphasize the use of proven treatments, with particular attention given to underserved populations.

Coronary Disease↗

Peer coaching in clinical teaching: a case report.

Peer coaching is a method for improving teaching skills that was developed for use in general educational classroom settings. Key elements of peer coaching include the identification of specific goals for improving teaching skills, focused observation of teaching by colleagues, and the provision of feedback, analysis, and support. As part of a faculty development project, we adapted peer-coaching methodology to the clinical teaching setting. This report describes the experiences of two family physicians who have served as peer coaches for each other over the past 2 years. The participating physicians report enthusiastically about their experiences with peer coaching as a method for personalized faculty development. They report more self-awareness of their clinical teaching behaviors, the ability to improve specific teaching skills, and the rewards of a collaborative relationship between colleagues.

Ambulatory Care↗

Childhood nutrition: from breastmilk to burgers.

Well-child care provides opportunities for nutrition education and the prevention of nutritional diseases. It is important to look at not only the food that is eaten but the relationships in which the food is offered. Significant impacts on the prevalence of iron deficiency and poverty-related malnutrition are possible. More research is needed on cholesterol reduction and on the prevention and treatment of obesity.

Adolescent↗

Doctors having families: the effect of pregnancy and childbearing on relationships with patients.

Family physicians care for patients in all stages of the life-cycle, while at the same time proceeding themselves through the course of adult development. The purpose of this study was to examine, from the doctor's point of view, changes in the doctor-patient relationship resulting from the physician's pregnancy and child-bearing. Five faculty family physicians participated via individual interviews and group discussion. Two women without children, the clinical psychologist interviewer, and other faculty family physicians joined in the review of the interviews and the group discussion. Comprehensibility, reciprocity, mutuality, identification, credibility, availability for long-term relationships, nurturing, and support emerged as themes in the evolution of relationships with patients. The process of examining the effect of childbearing on our relationships with patients unexpectedly revealed how the dual expectation of career and motherhood causes colleagues without children to feel inadequate. On the other hand, the study itself had the positive effect of facilitating the resolution of long-standing tensions among group members. We conclude that becoming mothers, a significant life change, had a transforming effect on our clinical work with patients and that studying this effect as a group fostered growth in the relationships among the participants.

Adult↗