Ian R. Ross

Washington University in St. Louis

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William G. Powderly

Washington University in St. Louis

Rupa Patel

Washington University in St. Louis

Johanna Meléndez

Roosevelt Hospital

Carlos Mejía

Roosevelt Hospital

K. Goodenberger

University of Michigan–Ann Arbor

Philip A. Chan

Brown University

Whitney Trotter Ross

Washington University in St. Louis

Sarwan Kumar

Wayne State University

Mohamed M. Mansour

Ain Shams University

Jennifer S. McCall‐Hosenfeld

Penn State Milton S. Hershey Medical Center

Cooperative Institutions

Penn State Milton S. Hershey Medical Center

Washington University in St. Louis

Pennsylvania State University

Wayne State University

Barnes-Jewish Hospital

Hershey (United States)

Harvard University

Roosevelt Hospital

University of Wisconsin–Madison

Jewish Hospital

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Improving the use of intravenous antihypertensive medications in the hospital setting: a quality improvement initiative for patient safety

BMJ Open Quality (2019)

Jacob Salman Alicja Salman Sarwan Kumar Rudin Gjeka Vesna Tegeltija

Intravenous (IV) hydralazine, enalapril and labetalol are oftentimes used without indication for the treatment of asymptomatic hypertension in the hospital setting and have been shown to have substantial adverse effects that are associated with increased morbidity and mortality, as well as longer length of stay. Their use is also associated with greater monetary costs. In this project, we studied the frequency of use and consequences of these medications before and after a series of education cycles which clarified when and when not to use intravenous antihypertensives (IVAHs). Our initial aim was to decrease the unindicated use of IVAH by at least 25% in the setting of asymptomatic hypertension in our community hospital within a 1-year period after introducing education on the topic. Multidisciplinary involvement throughout three Plan-Do-Study-Act (PDSA) cycles yielded favourable results. We focused on education towards a hospital-wide knowledge gap stemming from a lack of guidelines regarding the treatment of asymptomatic hypertension, as well as the guideline indications for IVAH. After three cycles of education targeting different groups, the unindicated use of IVAH fell by a total of 66%, decreasing patient exposure by approximately 248 cases over the total course of the study and ultimately, yielding a 52% increase in patient safety. Secondary outcome included a reduction in cost. It was noted that IV drugs cost more than their oral counterparts. The culture change in switching away from IVAH unless otherwise indicated was driven by repetitive education and group discussion to close the gap created by a lack of guidelines.

Guideline

Patient Education

10.1136/bmjoq-2019-000626

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Gynaecological care of women with chronic pelvic pain: Patient perspectives and care preferences

BJOG An International Journal of Obstetrics & Gynaecology (2022)

Whitney Trotter Ross Bethany Snyder Heather L. Stuckey Ian R. Ross Jennifer S. McCall‐Hosenfeld

To explore the experiences and care preferences of women with chronic pelvic pain, with or without a history of sexual trauma, seeking gynaecological care.Qualitative study.Ambulatory endometriosis centre.Women aged 18-55 years with chronic pelvic pain.Baseline demographics and sexual trauma history were obtained, and participants were assigned to focus groups according to a positive (four groups, 13 participants) or negative (two groups, nine participants) screen for a history of sexual trauma. The focus groups were led by a clinical psychologist and a gynaecological surgeon and consisted of semi-structured interviews. The interviews were audio-recorded and transcribed, and the transcripts were coded in NVivo 12.Content analysis was used to derive themes according to the participants' own words.Participants with chronic pelvic pain, with or without a history of sexual trauma, experienced delay in diagnosis and repetitive dismissals by clinicians. Participants' experiences of dismissals included: clinicians not listening, insufficient allocation of time to appointments and perceived redundant medical testing (i.e. sexually transmitted infection testing, urine cultures, ultrasounds). Participants identified clinician interactions as pivotal in coping with both pelvic pain and sexual abuse. Participants also provided feedback regarding trauma-informed practices and care delivery specific to patients with chronic pelvic pain.Patients with chronic pelvic pain, with or without a history of sexual trauma, report negative experiences when interacting with the healthcare system. They have clear needs and preferences regarding gynaecological care and provide feasible suggestions for improving care delivery.

Pelvic examination

10.1111/1471-0528.17355

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Awareness and attitudes of pre-exposure prophylaxis for HIV prevention among physicians in Guatemala: Implications for country-wide implementation

PLoS ONE (2017)

Ian R. Ross Carlos Mejía Johanna Meléndez Philip A. Chan Amy C. Nunn

Introduction HIV continues to be a major health concern with approximately 2.1 million new infections occurring worldwide in 2015. In Central America, Guatemala had the highest incident number of HIV infections (3,700) in 2015. Antiretroviral pre-exposure prophylaxis (PrEP) was recently recommended by the World Health Organization (WHO) as an efficacious intervention to prevent HIV transmission. PrEP implementation efforts are underway in Guatemala and success will require providers that are knowledgeable and willing to prescribe PrEP. We sought to explore current PrEP awareness and prescribing attitudes among Guatemalan physicians in order to inform future PrEP implementation efforts. Methods We conducted a cross-sectional survey of adult internal medicine physicians at the main teaching hospital in Guatemala City in March 2015. The survey included demographics, medical specialty, years of HIV patient care, PrEP awareness, willingness to prescribe PrEP, previous experience with post-exposure prophylaxis, and concerns about PrEP. The primary outcome was willingness to prescribe PrEP, which was assessed using a 5-point Likert scale for different at-risk population scenarios. Univariate and multivariate logistic regression was performed to identify predictors for willingness to prescribe PrEP. Results Eighty-seven physicians completed the survey; 66% were male, 64% were internal medicine residency trainees, and 10% were infectious disease (ID) specialists. Sixty-nine percent of physicians were PrEP aware, of which 9% had previously prescribed PrEP. Most (87%) of respondents were willing to prescribe PrEP to men who have sex with men (MSM), sex workers, injection drug users, or HIV-uninfected persons having known HIV-positive sexual partners. Concerns regarding PrEP included development of resistance (92%), risk compensation (90%), and cost (64%). Univariate logistic regression showed that younger age, being a resident trainee, and being a non-ID specialist were significant predictors for willingness to prescribe PrEP. In multivariate logistic regression, being a non-ID specialist was a significant predictor. Conclusions Guatemalan physicians at an urban public hospital were PrEP aware and willing to prescribe, but few have actually done so yet. Future education programs should address the concerns identified, including the low potential for the development of antiretroviral resistance. These findings can aid PrEP implementation efforts in Guatemala.

Pre-exposure prophylaxis

Specialty

Cross-sectional study

10.1371/journal.pone.0173057

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Abstract #1601371: Addison’s Disease Associated With Hypokalemia: A Case Report

Endocrine Practice (2023)

Mohamed M. Mansour Joel A. Dave Ian R. Ross

10.1016/j.eprac.2023.10.069

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Infectious Haiku

Journal of General Internal Medicine (2020)

Ian R. Ross

Haiku

10.1007/s11606-019-05453-1

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The Legacy of Harvey Cushing: Profiles of Patient Care

JAMA (2007)

Ian R. Ross

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal

10.1001/jama.298.20.2426

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Through the Fog

New England Journal of Medicine (2021)

Ian R. Ross

Faced with a delirious patient whose life story resembles his own, a physician finds a way to break through the fog. How often have we treated patients with delirium without understanding how it was affecting them as people?

10.1056/nejmp2033891

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GeoDeepDive: Towards a Machine Reading-Ready Digital Library and Information Integration Resource

AGU Fall Meeting Abstracts (2015)

Jon M. Husson Shanan E. Peters Miron Livny Ian R. Ross

Information resource

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A Portrait of the Physician as a Young Man

Annals of Internal Medicine (2019)

Ian R. Ross

On Being a Doctor19 November 2019A Portrait of the Physician as a Young ManIan R. Ross, MDIan R. Ross, MDPenn State College of Medicine, Hershey, Pennsylvania (I.R.R.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-0892 Audio Reading - “A Portrait of the Physician as a Young Man” Audio. Michael A. Lacombe, MD, Annals Associate Editor, reads “A Portrait of the Physician as a Young Man” by Ian R. Ross, MD Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The 8-year-old boy was going to be an artist. As soon as the clanging of the school bell signaled the end of class, his fingers swapped the yellow number 2 graphite for the worn edges of compressed charcoal. He relished breathing in the aroma of an unmarked page of his sketchbook as his mind planned the first stroke. Ordinary objects would become something transformed through the movements of his hand. A dilapidated house on Riverside Road became a sinister mansion full of witches and goblins. A basset hound became a portrait of a pet in the throes of death, her ... Author, Article, and Disclosure InformationAffiliations: Penn State College of Medicine, Hershey, Pennsylvania (I.R.R.)Corresponding Author: Ian R. Ross, MD, Penn State Hershey Internal Medicine, 500 University Drive, Hershey, PA 17033; e-mail, ir[email protected]psu.edu. PreviousarticleNextarticle Advertisement Audio Reading - “A Portrait of the Physician as a Young Man” Audio. Michael A. Lacombe, MD, Annals Associate Editor, reads “A Portrait of the Physician as a Young Man” by Ian R. Ross, MD Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ FiguresReferencesRelatedDetails Metrics Cited byUniversal Access to Cognitive Behavioral Therapy and Antidepressants Is Necessary for All Patients With Major Depressive DisorderMark Sinyor, MSc, MD 19 November 2019Volume 171, Issue 10Page: 769KeywordsChartsComputersHeart failureLiverLungsProblem solvingShouldersStrokeThoraxWeight loss ePublished: 19 November 2019 Issue Published: 19 November 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...

Portrait

Annals

10.7326/m19-0892

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Awareness and attitudes of prescribing pre-exposure prophylaxis for HIV prevention among medical providers in Guatemala: Implications for country-wide implementation

Annals of Global Health (2016)

Ian R. Ross Johanna Meléndez K. Goodenberger Carlos Mejía William G. Powderly

Welcome to Annals of Global Health,Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles dedicated to all aspects of global health. The journal's mission is to advance global health, promote research, and foster the prevention and treatment of disease worldwide. Its goals are to improve the health and well-being of all people, advance health equity, and promote wise stewardship of the earth's environment. The latest journal impact factor is 3.64.Annals of Global Health is supported by the Program for Global Public Health and the Common Good at Boston College. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health. Authors of articles accepted for publication in Annals of Global Health will be asked to pay an Article Publication Charge (APC) to cover publication costs. This charge can normally be sourced from your funder or institution. We are committed to supporting authors from all countries to publish their work in Annals of Global Health regardless of national income level, and to achieve this goal, we waive the Article Publication Charge for manuscripts where all authors are from low-income or lower-middle-income countries (as defined by the World Bank). From time to time, Annals of Global Health publishes Special Collections, a series of articles organized around a common theme in global health. Recent Special Collections have included “Strengthening Women’s Leadership in Global Health”, “Decolonizing Global Health Education”, and “Capacity Building for Global Health Leadership Training”. Global health workers interested in developing a Special Collection are strongly encouraged to contact the Managing Editor in advance to discuss the project.

Annals

Global Health

Publication

10.1016/j.aogh.2016.04.493

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