Group practice capital crisis: fact or fiction?
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Biomedical subjects
Publications and source records attributed to K Kaufman.
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We conducted a national survey to explore how women in academic medicine balance career and family responsibilities. A questionnaire was mailed to all women 50 years of age and under who held full-time appointments in departments of medicine (N = 862) as listed in the faculty roster of the Association of American Medical Colleges. This paper describes the types of coping strategies the respondents use to balance career and personal life. Seventy-seven percent of respondents (430) reported at least one coping strategy. The 1,117 strategies were grouped into 4 general categories: changing structural aspects of their lives, increasing efficiency, limiting personal expectations, and social support. Illustrative examples of each of the categories and their subcategories are provided. In addition, the association between respondent demographics and coping methods is examined. This study describes the diverse and creative methods women faculty use to balance career and personal lives. We believe that sharing the coping strategies of these respondents will be helpful to other physicians who face similar challenges in their lives and to women medical students planning careers in academic medicine.
Rectus femoris surgery was performed on 70 patients with cerebral palsy and stiff-knee gait. Fifty-three patients underwent distal rectus transfer, and 17 patients had distal rectus release with complete muscle mobilization. Gait analysis was performed preoperatively and postoperatively at a minimum of 1 year. Swing-phase peak knee flexion (PKF) was improved in the transfer group, allowing improved foot clearance and more efficient gait (p = 0.04). PKF in swing deteriorated slightly in the release group (p = 0.04). The presence of abnormal swing-phase electromyogram (EMG) activity in the rectus alone or abnormal combined rectus and vastus lateralis activity did not influence the PKF results in either surgery (p < 0.05). The Ely test had no predictive value in identifying patients with abnormal EMG activity (p > 0.05). Preoperative knee range of motion was not a significant variable in determining relative success of rectus surgery. No deleterious effects were observed in stance phase in either group (p > 0.05).