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Recruitment and retention of clinical staff in correctional settings remain a significant challenge. Few physicians learn about the provision of care within carceral institutions, most notably during their initial training programs when career trajectories are typically determined. A rotation for senior family medicine residents was developed in a county jail with an experiential learning curriculum that centers the needs of individuals experiencing incarceration. We investigated whether residents who completed this rotation subsequently worked within correctional medicine or cared for individuals in the community who had been formerly incarcerated. Residents who concluded the rotation between 2014 and 2020 and had since graduated from their training programs ( = 20) were invited to participate in an anonymous survey. Approximately 88% of survey participants reported caring for patients with a history of incarceration since completing the rotation. Nearly 18% reported having worked in a jail or prison after graduation. All respondents reported that they would consider pursuing correctional medicine at some point in their career. Findings from this study suggest that providing a brief but structured clinical rotation for senior medical residents in a jail or prison may encourage graduates to consider working with people involved in the criminal legal system.
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http://dx.doi.org/10.1089/jchc.24.08.0061 | DOI Listing |
Nurs Crit Care
September 2025
School of Nursing and Midwifery, Monash University, Frankston, Victoria, Australia.
Background: Optimal oral care is essential in preventing non-ventilator hospital-associated pneumonia and enhancing patient comfort. However, nurses' clinical oral care practices for patients not on mechanical ventilation in the intensive care unit are both underreported and understudied.
Aim: To explore intensive care nurses' clinical oral care practices for patients not on mechanical ventilation in intensive care units.
J Adv Nurs
September 2025
Department of Sociology and Behavioral Sciences, De La Salle University, Manila, Philippines.
Aim: To explore the potential axiological shift in nursing, drawing upon a critical reading of the new definition of 'nursing' published by the International Council of Nurses (ICN) in June 2025, and to articulate its implications for research and doctoral education.
Design: Critical discussion paper.
Methods: Guided by critical inquiry and emancipatory nursing knowledge development approaches, this paper deploys retroductive analysis to interrogate the axiological commitments that inform and are generated by the 2025 ICN definition and how it relates to nursing research.
Arthritis Rheumatol
September 2025
Washington DC Veterans Affairs Medical Center; Georgetown University, Washington, DC, USA.
Objective: To evaluate the clinical characteristics, social deprivation, insurance coverage, and medication use across regional subsets of patients with psoriatic arthritis (PsA) in the US.
Methods: A cross-sectional study of PsA patients in the Rheumatology Informatics System for Effectiveness (RISE) registry between January 2020 and March2023 was conducted. Distribution of high disease activity (HDA - RAPID3>12), high comorbidity (RxRisk ≥90 percentile), high Area Deprivation Index (ADI ≥80), insurance coverage, prednisone ≥10mg daily, and all DMARD therapies across geographic regions were evaluated.
Drug Alcohol Rev
September 2025
The Prescription Drug Misuse Education and Research (PREMIER) Center, University of Houston, Houston, Texas, USA.
Introduction: Buprenorphine is effective for opioid use disorder (OUD), yet adherence remains suboptimal. This study aimed to identify adherence trajectories, explore their predictors, and assess their association with opioid overdose risk and healthcare costs.
Methods: A retrospective cohort study was conducted using the Merative MarketScan Commercial Database, which includes a nationally representative sample of individuals with private, employer-sponsored health insurance in the United States.