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- BookStephen J. Swensen, Tait D. Shanafelt.Contents:
Section I: Foundation. Introduction ; Consequences of Professional Burnout ; Drivers of Burnout and Engagement ; The Business Case ; Quality Shortfalls From Health Care Waste: A Unifying Root Cause of Burnout
Section II: Strategy. The Blueprint for Cultivating Esprit de Corps ; Ideal Work Elements ; Getting Senior Leadership on Board ; Assessment
Section III: Execution.The Three Action Sets of the Intervention Triad: Evidence-based Strategies for Reducing Burnout and Promoting Esprit de Corps ; Agency Action Set: Introduction ; Agency Ideal Work Element: Partnership ; Agency Ideal Work Element: Trust and Respect ; Agency Ideal Work Element: Control and Flexibility ; Agency Action: Measuring Leader Behaviors ; Agency Action: Removing Pebbles ; Agency Action: Introducing Control and Flexibility ; Agency Action: Creating a Values Alignment Compact ; Coherence Action Set: Introduction ; Coherence Ideal Work Element: Professional Development and Mentorship ; Coherence Ideal Work Element: Fairness and Equity ; Coherence Ideal Work Element: Safety ; Coherence Action: Selecting and Developing Leaders ; Coherence Action: Improving Practice Efficiency ; Coherence Action: Establishing Fair and Just Accountability ; Coherence Action: Forming Safe Havens ; Camaraderie Action Set: Introduction ; Camaraderie Ideal Work Element: Community at Work and Camaraderie ; Camaraderie Ideal Work Element: Intrinsic Motivation and Rewards ; Camaraderie Action: Cultivating Community and Commensality ; Camaraderie Action: Optimizing Rewards, Recognition, and Appreciation ; Camaraderie Action: Fostering Boundarylessness ; Applying the Action Sets to Address the Unique Needs of Medical Students, Residents, and Fellows ; Nurturing Well-Being ; Section IV: The Journey. Summary ; Conclusion.Digital Access Oxford 2020 - JournalDigital AccessProviderVersionFull text via HathiTrust
- ArticleKolhouse JF, Kondo H, Allen NC, Podell E, Allen RH.N Engl J Med. 1978 Oct 12;299(15):785-92.Since R protein binds cobalamin (vitamin B12) and cobalamin analogues, whereas intrinsic factor is highly specific for true cobalamin, we compared the serum cobalamin values obtained with these proteins in radioisotope dilution assays. With R protein, eight of 21 patients with cobalamin deficiency had serum cobalamin levels (mean, 204, range, 85 to 355 pg per milliliter) that overlapped with values for 74 normal subjects (mean, 576, range, 220 to 1230). With intrinsic factor, no patient values (mean, 36, range, less than 10 to 78 pg per milliliter) overlapped with the normal values (mean, 322, range, 130 to 785). Paper chromatography showed that these differences were due to the presence of cobalamin analogues. R protein constituted 51 to 85 per cent of the cobalamin-binding protein in 10 commercial serum cobalamin assay kits, which were said to contain "intrinsic factor". Human plasma contains cobalamin analogues that can mask cobalamin deficiency with current radioisotope dilution assays.