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Public Health and Primary Care

Disparities in endocrinologist distribution and diabetes outcomes in Appalachian and non-Appalachian counties of Ohio

Samuel Borgemenke, BS; Anja Eshbaugh, BS; Katherine Kulp, BA; Isaiah Comnick, BS; and Elizabeth A. Beverly, PhD
Shortages in medical subspecialty care, particularly endocrinology, present a growing challenge in the United States. In Ohio, structural inequities in the rural and Appalachian regions, including fewer healthcare providers, limited facilities, and barriers to transportation and broadband connectivity, contribute to delayed diabetes diagnoses, increased complications, and a higher mortality rate. This study aimed to examine the distribution of endocrinology subspecialists in Ohio and the corresponding prevalence of diabetes.
Medical Education

Conceptualizing osteopathic medical professionalism: an institutional self-assessment rubric for colleges of osteopathic medicine

Regina K. Fleming, DO; Anne C. Jones, DO, MPH; Matthew Shelnutt, DO; Tony A. Slieman, MSc, PhD; Stephanie White, DO; and Bruce R. Williams, DO
The purpose of this paper is to present a self-assessment rubric for colleges of osteopathic medicine (COMs) that encompasses all aspects of the academic medical enterprise. This work endeavors to capture the extent to which a COM creates an institutional culture of professional behavior, from the first touchpoints of interaction with the COM, through all aspects of the educational experience as well as provision of care, education, and service toward the COM’s mission.
Pediatrics

Epidemiology of pediatric abuse- and neglect-associated emergency department visits in the United States: an analysis of the 2019–2022 National Hospital Ambulatory Medical Care Survey

Elizabeth Oberlander, BS; Nam Nguyen, BS; Micah Hartwell, PhD; Amy D. Hendrix-Dicken, PhD; and Christine Beeson, DO
Child maltreatment impacts an estimated 7.4 per 1,000 children in the United States. Given the severity of some abusive injuries, children may present to emergency departments (EDs). As such, EDs are primary screening locations for early identification of maltreatment. The objective of this study was to assess rates of maltreatment among pediatric patients presenting to the ED.

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Clinical Image

Rotator cuff injuries: improving identification with bedside ultrasound

A 53-year-old woman reported falling off her sofa and injuring her right shoulder 4 hours before arrival in the emergency department. After her injury, she was unable to utilize or raise her right arm. Physical examination demonstrated that the patient was holding her shoulder in an internally rotated position, with limited active and passive range of motion of the shoulder due to pain. Read more