drojohnma
Dr. O John Ma
26 posts
Dr. O John Ma's passion for medicine did not fade with him, and he is currently actively updating many of the journals he contributed to. The fourth edition of Ma and Mateer's Emergency Ultrasound, published in 2020, contained significant advancements in using ultrasound to detect COVID-19. John Ma's commitment to patient safety and high-quality clinical treatment helped him win the position of chair on the OHSU Professional Board. He also served as president of the executive medical committee. In the 12 years between 2007 and 2019, Oregon expanded emergency treatment from one staffed emergency department to five. During this time, the budget climbed from $10 million to $28 million, allowing more significant investment in technology and patient care enhancements. Ma has funded emergency medicine residency programs for other physicians and developed novel entrepreneurial and humanitarian endeavors. On numerous occasions, Dr. John Ma has been designated a top doctor by Portland Monthly Magazine. He was awarded the OHSU Golden Rose in 2009 for his work in the emergency department and the Pillar of Excellence award for people development that same year. He was consistently acknowledged as an outstanding physician at Truman Medical Center and received honors from several emergency medicine instructors of the year. Dr. O John Ma has a variety of stimulating hobbies and interests. He appreciates the golf field's difficulties and new eating experiences in New York City. In his spare time, he enjoys visiting museums in and around New York City and international travel. He also previously worked as a sportswriter and has professional-level expertise in golf courses.
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drojohnma · 2 years ago
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Critical-Thinking Techniques for Professionals in Emergency Medicine
People with urgent or life-threatening medical needs are treated by emergency medicine, a branch of medicine. A diverse patient population, a fast-paced work environment, and critical thinking skills are all highlighted. Emergency room doctors receive extensive training to treat a wide range of illnesses and wounds from all walks of life. They provide immediate care for patients and are frequently asked to refer cases to trauma surgeons when necessary.
To make wise clinical decisions, emergency medicine professionals must cultivate critical thinking abilities. This entails identifying ambiguity and bias, testing prior hypotheses, and evaluating data.
Critical thinking is an important skill for your career and the health of your patients, whether you're a doctor or a nurse. It assists you in coming to wise clinical decisions that are best for your patient and the desired results.
In emergency medicine, nurses frequently decide crucial matters pertaining to patient care. These choices can be anything from prescribing the right course of treatment for a client to diagnosing a disease.
Critical thinking is essential in emergency medicine to enhance patient outcomes and foster interprofessional communication. This way of thinking is also crucial for integrating fresh information into clinical practice.
A fast-paced work environment that requires constant movement and mental activity throughout the day is what emergency physicians must deal with. Emergency physicians must be able to communicate clearly with their coworkers and multidisciplinary teams in addition to giving patients life-saving care.
It can be hard to keep up with patients' needs and takes a lot of patience. However, if you put in the necessary effort and have the necessary skills, working in a fast-paced environment can be exciting and rewarding.
A direct observation study of 31 emergency department doctors was carried out to assess how they split their time between drug-related and unrelated tasks. The findings revealed that 17.8% (95% CI 16.8%, 19.3%) of physicians' time was spent on tasks involving drugs.
The difficulties that face medicine as a whole are reflected in the ED environment. Increased diversity is required in the medical field, especially among emergency physicians. Studies have shown that compared to their peers, women and students of color apply to emergency medicine residency programs at lower rates. However, the literature does not provide adequate documentation of the causes of this.
Working flexibly is a crucial skill for emergency physicians, especially in a profession where patients frequently show up unannounced or in an unexpected condition. EDs can respond quickly to emergencies, incidents involving multiple casualties, or critically ill patients with a range of needs thanks to their flexibility.
Additionally, EM doctors have excellent career portability because they are not bound to a particular patient panel or practice. They have easy access to medical facilities and EM clinics all over the world.
Cultural competence may be more important when providing quality care to a patient population that is becoming more diverse. Health care providers' interactions with these patients may be impacted by linguistic barriers, socioeconomic factors, religious beliefs, and cultural norms.
Numerous emergency medicine (EM) training programs encourage diversity and cultural sensitivity. These initiatives may include distributing educational materials on implicit bias and disparities in LGBTQ+ healthcare.
During rotations, residents are paired with faculty mentors to expose them to various cultures and ethnicities. Along with these activities, they take part in splinting, social medicine projects, and wilderness medical expeditions.
However, emergency medicine might not be the best choice for you if your lifestyle is dictated by frantic environments or a fast pace. Additionally, this may not be the best specialty for you if you are worried about how your shifts will affect your general wellbeing and family life.
In order to investigate the nature of workforce flexibility in a group of emergency physicians, nurse practitioners (NPs), and registered nurses, this study adopted a division of labor methodology (RNs). In order to determine the degree of multiskilling and role overlap, it measured task distribution. It also looked at the organizational factors and behavioral patterns that promote flexibility.
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drojohnma · 2 years ago
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What is the United Kingdom well-known for?
Many things spring to mind when people think about the United Kingdom. There are beaches, castles, fortresses, afternoon tea, Harry Potter books, and other attractions. But what actually makes the United Kingdom famous? In the United Kingdom and the United States, afternoon tea has become a popular custom. It consists of three to four courses, including finger sandwiches, pastries, and scones.
Many high-end hotels and restaurants serve afternoon tea. It is also commonly accessible in a variety of tourist locations. The Ritz London, Savoy, Harrods, The Ritz Edinburgh, and the Mayfair are among the most prestigious. Afternoon tea dates back to the mid-nineteenth century. The English upper class ate two meals every day at the time.
A private home event was one of the first social gatherings to feature tea. Later, the tea party evolved into a popular social gathering. Women began to wear gloves and elegant hats, and tea parties were held in formal drawing rooms.
Castles and fortresses have long been a part of the cultural landscape of the United Kingdom. As a result, they are a popular and enjoyable tourist destination. The United Kingdom is home to a diverse selection of castles, each with its own unique story. While some of them have a somewhat bleak history, they remain attractive tourist destinations.
During the Middle Ages, castles and fortresses were erected to secure the country against invasion. Some were built to serve as useful defenses, while others were built to house people. The size of these constructions varied based on the builder and location. Smaller forts were built in Wales and Scotland, while grander castles were built in England and Ireland.
The castle's motte and bailey design was characteristic of Norman forts. It was a massive structure built up with two baileys linked by a single vote. It took a lot of effort and personnel to build them.
The coastline of the United Kingdom is lined with beautiful beaches. The water on these beaches is turquoise, and the sand is white. Surfers, families, and adventure seekers flock to these beaches. Studland Bay is one of the nicest beaches in the United Kingdom. This sandy beach, near Noddy's Toytown, is home to the Michelin-starred Pig on the Beach. It is surrounded by lovely heathland.
Bigbury Bay, with a two-mile sand shoreline, is another lovely beach. For those interested in water activities, there is also the Extreme Academy. You can bring a picnic and enjoy the surrounding hills. Ruislip Lido is a popular neighborhood beach. The Ruislip Woods National Nature Reserve includes a big golden-sand beach.
Any Harry Potter lover should pay a visit to the United Kingdom. There are numerous sights and monuments to see, ranging from the original writings to the movie. There's even a chance to see some rare artefacts now, due to a special display at the British Library.
Alnwick Castle in Northumberland was the location for the first two Harry Potter films. The castle is an amazing 11th century medieval fortress that serves as the Duke of Northumberland's residence. It has also appeared in the TV shows Robin Hood and Transformers.
Scotland was the location for some of the most renowned moments in the Harry Potter movie. Glenfinnan Viaduct, a 21-arched bridge, has appeared in films. If you want to see the filming locations up close, you can go to the Warner Bros Studio Tour in Leavesden, near London. This three to four-hour tour will take you around the film sets.
Hadrian's Wall is an English fortification wall that has been well preserved. The Roman troops constructed the wall in 122 CE. Hadrian, the Emperor, commissioned it. The wall represented the Roman Empire's authority. Hadrian's Wall is England's most famous Roman site. English Heritage manages the forts that along the wall. They are highly kept and provide good viewing opportunities.
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What Exactly Is Emergency Medicine?
Emergency medicine is one of the fastest-growing medical careers, with some of the greatest job growth rates. This career is critical for individual and community health because it allows physicians to treat acute medical issues in the hospital and the community. While this is a hard profession, it also delivers a rewarding experience for the clinician. An emergency medicine practitioner's key responsibilities include diagnosing and treating illnesses and injuries during the acute phase of a patient's sickness and preparing patients for the next stage of their care.
Emergency medicine allows you to serve patients of different ages and illnesses. Your primary responsibility is to stabilize them, whether they have a life-threatening injury, rapid onset of symptoms, or are in discomfort.
Doctors in emergency medicine work in several settings, including hospitals and other medical facilities. They may assist in various parts of the hospital and provide care for extremely unwell patients. They could be assigned to minor injury units, big events, or regional trauma networks.
A hospital's emergency department is outfitted with cutting-edge technology. Physicians and other emergency staff work long hours to guarantee that every patient receives critical care.
Almost half of emergency medicine physicians in the United States are board certified. Practitioners must undergo an extensive continuing education program in addition to their certification. Each year, approximately 2000 graduates are created. This accounts for more than half of the total global output.
Emergency medicine has always been a young specialty. Despite its youth, it has progressed and evolved into a distinct medical thing.
The emergence of specialization in the United States was driven by public demand. Because of the unique cross-cutting character of emergency medicine, there are several chances for collaboration with other specialties. Many significant milestones have been attained in the development of the specialization.
A degree in emergency medicine can be a fulfilling experience. While there are some physical and emotional hurdles in the industry, it is also an empowering career choice. You can make a difference in many ways, from alleviating pain to solving puzzles.
Emergency medicine is conducted in a variety of circumstances in the real world. Hospitals, observation medicine units, and telehealth are examples of these. An EM specialist may even ride in an ambulance in some countries. In other nations, an EM specialist may work for the government or a private hospital. An EM physician can also work for a private hospital with an emergency department, a National Health Service (NHS) hospital, or a public hospital with an EMS service in the United Kingdom.
Emergency medicine, unlike other professions, is a front-line job that requires quick action and multi-patient care. There are numerous advantages and disadvantages to this career. Some benefits are excellent pay, terrific career chances, and a fast-paced work atmosphere. On the negative side, the number of patients you treat will be quite large. You may also be required to relocate, which will add to the stress of your job.
Another disadvantage of emergency medicine is that you never know who you will care for on any given day. This necessitates a significant amount of time spent getting to know your patients.
Despite differences in size and work style, emergency departments all have some things in common. These include intense scrutiny from the public, other departments, and the larger community. These issues all contribute to the requirement for a quality management system.
Efficient work methods are critical to clinical success and job happiness. They require a commitment to change, good leadership, and monitoring to secure the desired outcome.
An emergency department is often a mid-sized clinical facility with a staff of 30 to 200 people. It serves a wide range of patients, from those with mild ailments to those with life-threatening conditions.
The Emergency Medical Treatment and Active Labor Act, enacted in the 1980s, was intended to safeguard patients and prohibit hospitals from dumping uninsured patients. The legislation also established guidelines for screening, transferring, and stabilizing patients.
Clinicians were required by law to evaluate whether a patient had an "emergency medical condition" (EMC) and to undertake an "MSE," or medical screening examination. It also required clinicians to stabilize the condition if it was serious enough to necessitate an immediate transfer.
EMTALA is a complicated statute with far-reaching consequences for the medical community. It impacts not only doctors but also hospital employees, on-call doctors, and the entire emergency department.
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drojohnma · 2 years ago
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Five Best Arizona Golf Courses for Seniors
If you're a retiree wanting to play golf on a budget, Arizona boasts a beautiful assortment of courses and a welcoming atmosphere. Popular methods include Sunridge Canyon Golf Club and Grayhawk Golf Club, while We-Ko-Pa Golf Club and The Boulders are also outstanding. You will be able to enjoy the sport year-round since the weather is often ideal. In addition, many courses offer attractive summertime discounts.
SunRidge Canyon Golf Club is a uniquely beautiful desert course in the Valley of the Sun. It is set among beautiful house sites and has a distinctive layout that appeals to senior citizens. The golf course's driving range, chipping, and putting greens are superb.
Sunridge Canyon Golf Club is a fantastic public golf course with breathtaking vistas. It has gradual variations in height and undulating fairways. This gorgeous course is ideal for an afternoon round. There is an annual pass available. You may also acquire annual tokens to access the system without paying a membership fee.
Wicked Six Bar and Grill, a contemporary American taphouse specializing in gourmet burgers and wood-fired artisan pizzas, is also located in SunRidge Canyon. This town is ideal for retirees due to its abundance of recreation options.
Grayhawk Golf Club is situated in Scottsdale and features two 18-hole courses: the Raptor Course and the Talon Course. The Raptor Course once hosted a PGA Tour event and boasted exceptional par 4s and par 5s. The par-3 17th on the Talon Course, designed by Gary Panks and David Graham, includes a tricky island green. The club has several services, such as a fitness facility and a concierge.
The Starfire Golf Club is one of Arizona's most stunning golf courses. This expensive course's PGA Tour tee markers are 1,000 yards away. The typical male golfer's driving distance is around 220 yards off the tee. The course features several par 5s and lengthy par 3s, but it may also be challenging.
Arizona contains around 300 golf courses. Some are in Scottsdale and Phoenix, considered the American counterpart of St. Andrews. Most of Arizona's golf courses are created in a target style, with cacti surrounding emerald greens. Tucson, a little city 100 miles from Phoenix, is a terrific destination for golfers who prefer a laid-back atmosphere and delicious local cuisine. It is also ideal for golfers who like staying close to family and local attractions.
This stunning golf course is situated in the Sonoran Desert's upper reaches. The course has expansive fairways and greens. The hallmark hole is No. 7, a 490-yard par five with a tiny, pond-protected green.
The Saguaro Course at We-Ko-Pa Golf Club provides a desert golf experience with spacious fairways that match the terrain's natural contours. This course is about 30 minutes east of downtown Scottsdale and features a desert background that enhances its charm.
The We-Ko-Pa Golf Club is comprised of two courses. The Cholla course is reserved for skilled golfers. Scott Miller created this course, and its undulating fairways will present a challenge.
Boulders are the spot to play golf if you're searching for a difficult yet entertaining course. This championship golf course offers a one-of-a-kind blend of landscape and golfing experience, with the Grand Canyon and Arizona desert vistas. Its five tee boxes guarantee that golfers of all skill levels encounter an ethical challenge. Additionally, Boulders has excellent lodgings, as well as a spa.
The Boulders Golf Club is a semi-private 36-hole course located just north of Scottsdale. The relative lengths of its two championship courses are par 72 and 6,815 yards. They were created by Jay Morrish and are among the most difficult in the Southwestern United States. They have expansive vistas and challenging terrain, with the North Course offering a stunning perspective of Black Mountain.
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drojohnma · 2 years ago
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What exactly is Emergency Medicine?
Emergency medicine is a branch of medicine that deals with life-threatening medical issues. It treats patients of all ages with injuries or diseases requiring immediate medical attention. To handle these individuals, emergency physicians get ongoing training. They must also be highly trained and have a great sense of critical thinking.
Emergency medicine is a branch of medicine that allows doctors to examine and treat patients who have life-threatening diseases or injuries. They can work in hospitals, ERs, and even on cruise liners. Some emergency physicians even work as consultants for television and film production businesses. They are frequently accessible 24 hours a day, seven days a week. Whether you want to work in medicine or try something new, emergency medicine may be a fulfilling and exciting profession.
Emergency care doctors frequently see diverse patient demographics, providing them with unique experiences. Emergency physicians can also operate in urgent care centers or walk-in clinics in addition to emergency departments. While these sites frequently need less travel and "on-call" time, the patient profile is comparable. You may love working with critical patients depending on the sort of practice you have.
Those considering a career in emergency medicine may be curious about the educational requirements for emergency physicians. Fortunately, there are several possibilities for emergency medicine training. Attending a residency program is one alternative. This curriculum is usually three to four years long and includes laboratory and clinical training. Residents operate under the supervision of emergency medicine physicians and perform basic direct patient care procedures. A one-year fellowship is another possibility. Though it is not required for licensing, this option permits physicians to concentrate on a particular specialism.
The most popular specialization among residents attending emergency medicine residency programs. It has grown in popularity in countries all around the world. This specialty was initially seen with mistrust, but this has now changed. Many residents like that emergency medicine is a consulting specialty that does not require patients from other things, so avoiding scheduling conflicts. In the United States, there are almost 200 emergency medicine residency programs.
A patient-physician relationship is a collaboration between two persons concerned about the patient's well-being. This connection has no formal structure and is built on reciprocal participation. It entails exchanging medical information and care to increase patient and physician trust. It also allows two persons to discuss their own experiences and worries.
A solid doctor-patient relationship consists of four critical components. Mutual knowledge, trust, loyalty, and esteem are examples of these. The patient is expected to forgive the doctor if they make a mistake, and the doctor must be prepared to appreciate and honor the patient's preferences and feelings.
Critical-thinking abilities are essential to professional competency and clinical decision-making in medical emergency treatment. However, little research on this component of emergency treatment has been conducted. While nurses make up more than half of the staff at prehospital emergency departments, only a few studies have focused on emergency physicians' critical-thinking ability.
Emergency physicians and scribes in the emergency department must be able to think critically. This personnel is frequently in charge of recording patient information and developing treatment strategies. They must think quickly about a patient's demands and the hazards of various drugs. Learning about the diagnostic process framework can help them improve their critical thinking skills.
Several research investigations have also demonstrated that critical-thinking abilities can help to reduce medical blunders. Physicians, for example, who analyze their thinking might prevent common errors that cause patient damage. They may also better understand how their patients think and behave. Finally, their critical thinking abilities can help to avoid medical blunders and save lives.
Treatment of life-threatening problems in emergency medicine is complex and usually necessitates harsh judgments. There is a fine line between maintaining patient safety and protecting patient autonomy. Emergency physicians must examine the patient's competency and ability to agree to treatment and the medical risks and consequences of refusing medical care. This is referred to as triage.
A sound triage system for emergency treatment should be founded on the following principles: equality, equity, and responsiveness. The equality principle is based on the concept that all lives are equal and that all people should get equal medical treatment. The equality principle would employ a first-come, first-served method, offering equal treatment to patients with both life-threatening and non-life-threatening conditions.
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