insight into the type of information patients most prefer to see in order to enhance patient experience. Aim(s)/objectives To conduct a patient survey of preferences for information provided in sexual health clinic waiting rooms. Methods 133 consecutive patients attending the integrated clinic were asked to complete a simple questionnaire covering the following areas: (1) how much attention is given to the information available; (2) Which types of information are most useful; (3) Preference for pictures, written text or a combination; (4) Importance of information that can be taken away. Results 53% looked at most of the information, 32% only read what looked interesting or relevant while 15% took little notice. Facts about STI's were the most useful (64%), followed by prevention messages (51%), contact details of other organisations/ services (49%), information about local/national campaigns (41%) and boards with specific themes (e.g. Valentine's day, Fresher's Week) (33%). 55% preferred a combination of pictures and text, 41% mainly text and 37% mainly pictures. 74% attached a high importance to information which could be taken away. Discussion/conclusion 85% of patients paid significant attention to the information presented in the waiting room. Patients found factual information about STI's to be most useful followed by prevention messages. There was a clear preference for messages that combined text with pictures. -2015-052126.196 Introduction Trichomonas vaginalis (TV) is the commonest curable STI worldwide. UK prevalence is comparatively lower but TV remains an important cause of genital symptoms. National guidelines recommend NAATs for TV testing due to their high sensitivity. Since 2012 we have utilised Gen-Probe APTIMA TV assays for symptomatic females, males with recurrent urethritis and contacts. Aims Assess the effectiveness of our current TV NAAT testing practice. Methods Retrospective casenote review of patients tested for TV in an inner city sexual health clinic between 01/01/14-31/03/14. Results 961 (882F, 79M) patients were included. Median age was 24 (range 15-67), 445 (46.3%) were White British. 6 (7.6%) of the men were MSM. 28 (2.9%) patients were TV NAAT positive (21F, 7M). 5 of them attended as TV contacts. 11 TVinfected females had positive microscopy. Comparing diagnostic modalities microscopy had inferior sensitivity (=0.524) but excellent specificity (=1) and NPV (=0.986). All TV-positive men were either symptomatic (4) or an asymptomatic contact (3). The TV-positive and TV-negative cohorts were compared: TV incidence was significantly associated with increasing age, Black Caribbean ethnicity and attending as a contact; concurrent STI diagnoses and evident symptoms were not. Conclusion Our data demonstrates the superior sensitivity of NAATs over microscopy. Extending screening to asymptomatic patients is not warranted. We continue to focus TV testing on known at-risk populations.
Study Objectives: Utilization of social media continues to increase among medical professionals, allowing them to be more connected in their personal and professional lives. Users leave comments, post photos, exchange information, buy and browse on the internet while often unknowingly leaving a digital footprint that may be accessible to the public. Facebook is a well-known social media network that allows users to create a profile and showcase their daily lives through photos, comments, and personal posts. Previous studies have shown high usage of Facebook among physicians, as well as high rates of unprofessional behavior in surgeons and surgical residents. The purpose of this study was to determine the frequency and degree of unprofessional conduct that is publicly available on Facebook profiles of emergency medicine residents.Methods: The Society for Academic Emergency Medicine (SAEM) Web site was used to identify 77 emergency medicine residency programs located in the Midwest and central portion of the United States. Resident rosters were obtained from program Web sites and were used to identify which residents had Facebook profiles visible to the public. The content of each profile was evaluated and placed into 1 of 3 categories: professional, potentially unprofessional, and clearly unprofessional based on a scoring system derived from the Accreditation Council for Graduate Medical Education components of professionalism and the American Medical Association report on professionalism in the use of social media. A chisquare test was used to look for significant differences between sex and post graduate year.Results: A total of 77 residency programs were chosen from the SAEM Web site and 67 of those were found to have a publicly available and current resident roster. A total of 2082 emergency medicine residents were identified of which 1346 (64.6%) were confirmed to have publicly viewable Facebook profiles. Of the residents with confirmed profiles, 63.2% had no unprofessional content, 29.7% had potentially unprofessional content, and 7.1% had clearly unprofessional content. Male residents had significantly more clearly unprofessional behavior compared with their female counterparts (8.9 vs 3.8%, p ¼ 0.002.) There was no significant difference in scores when stratified by postgraduate year. Alcohol use was the most frequent potentially unprofessional behavior while expletive use was the most common clearly unprofessional behavior.Conclusion: A majority of emergency medicine residents have confirmed Facebook profiles and many of those have publicly visible potentially or clearly unprofessional content. Unprofessional behavior on Facebook is more common among male residents and is relatively constant across postgraduate years. Such behavior may not only be a detriment to the physician, but may reflect poorly on the residency program and the institution as a whole. Residency programs and training institutions may want to direct additional attention toward education and risk reduction for residents utilizing social ...
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