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Association Between Copay Amount And Medication Adherence For Angiotensin Receptor Neprilysin Inhibitors In Patients With Heart Failure [Meeting Abstract]

Mukhopadhyay, Amrita; Adhikari, Samrachana; Li, Xiyue; Dodson, John A; Kronish, Ian M; Ramatowski, Maggie; Chunara, Rumi; Blecker, Saul
ISSN: 1941-7705
CID: 5263752

Mistaken Identity: Frequency and Effects of Gender-Based Professional Misidentification of Resident Physicians

Berwick, Shana; Calev, Hila; Matthews, Andrew; Mukhopadhyay, Amrita; Poole, Brian; Talan, Jordan; Hayes, Margaret M; Smith, C Christopher
PURPOSE:Evaluation of the medical profession at all levels has exposed episodes of gender-based role misidentification whereby women physicians are disproportionately misidentified as nonphysicians. The authors of this study investigate this phenomenon and its repercussions, quantifying the frequency with which resident physicians experience role misidentification and the effect this has on their experience and behavior. METHOD:In 2018, the authors conducted a cross-sectional survey study of internal medicine, surgical, and emergency medicine residents at a single, large, urban, tertiary academic medical center. The survey tool captured both the self-reported frequency and effect of professional misidentification. The authors used a t test and linear multivariate regression to analyze the results. RESULTS:Of the 260 residents who received the survey, 186 (72%) responded, and the authors analyzed the responses of 182. All 85 of the women respondents (100%) reported being misidentified as nonphysicians at least once in their professional experience by patients or staff members, compared with 49% of the 97 men respondents. Of those 182 residents, 35% of women were misidentified more than 8 times per month by patients compared with 1% of men. Of the 85 women physicians responding to the survey, 38% felt angry and 36% felt less satisfied with their jobs as a result of misidentification compared with, respectively, 7% and 9% of men. In response to role misidentification, 51% of women changed their manner of attire and 81% changed their manner of introduction, compared with, respectively, 7% and 37% of men. CONCLUSIONS:These survey results demonstrate that women physicians are more likely than men physicians to be misidentified as nonphysicians and that role misidentification provokes gender-polarized psychological and behavioral responses that have potentially important professional ramifications.
PMID: 33735130
ISSN: 1938-808x
CID: 5262792

Use of a QR Code Accessed Debrief Tool is Associated With Higher Rates of Debrief After In-Hospital Cardiac Arrest [Meeting Abstract]

Mitchell, Oscar J.; Drus, Karsten; Yuriditsky, Eugene; Parnia, Sam; Mukhopadhyay, Amrita; Horowitz, James
ISSN: 0009-7322
CID: 5263722

Gaps in Medical Therapy for Patients with Heart Failure and Reduced Ejection Fraction (HFrEF) in a Large, Diverse, Electronically Identified Cohort [Meeting Abstract]

Mukhopadhyay, Amrita; Reynolds, Harmony; Phillips, Lawrence M.; Nagler, Arielle; Horwitz, Leora; Katz, Stuart D.; Blecker, Saul
ISSN: 0009-7322
CID: 5263712

Evaluating Syncope: Does a Prior Normal Transthoracic Echocardiogram Negate the Need for Another Echocardiogram? [Letter]

Mukhopadhyay, Amrita; Shen, Changyu; Kiefer, Nicholas; Kriegel, Ari; Ali, Karima; Manning, Warren J
PMID: 32739366
ISSN: 1876-7591
CID: 5262852

Racial and insurance disparities among patients presenting with chest pain in the US: 2009-2015

Mukhopadhyay, Amrita; D'Angelo, Robert; Senser, Ethan; Whelan, Kyle; Wee, Christina C; Mukamal, Kenneth J
BACKGROUND:Nationally representative studies have shown significant racial and socioeconomic disparities in the triage and diagnostic evaluation of patients presenting to the emergency department (ED) with chest pain. However, these studies were conducted over a decade ago and have not been updated amidst growing awareness of healthcare disparities. OBJECTIVE:We aimed to reevaluate the effect of race and insurance type on triage acuity and diagnostic testing to assess if these disparities persist. METHODS:We identified ED visits for adults presenting with chest pain in the 2009-2015 National Hospital Ambulatory Health Care Surveys. Using weighted logistic regression, we examined associations between race and payment type with triage acuity and likelihood of ordering electrocardiography (ECG) or cardiac enzymes. RESULTS:A total of 10,441 patients met inclusion criteria, corresponding to an estimated 51.4 million patients nationwide. When compared with white patients, black patients presenting with chest pain were less likely to have an ECG ordered (adjusted odds ratio [OR] = 0.82, 95% confidence interval [CI] = 0.69-0.99). Patients with Medicare, Medicaid, and no insurance were also less likely to have an ECG ordered compared to patients with private insurance (Medicare: OR = 0.79, CI = 0.63-0.99; Medicaid: OR = 0.67, CI = 0.53-0.84; no insurance: OR = 0.68, CI = 0.55-0.84). Those with Medicare and Medicaid were less likely to be triaged emergently (Medicare: OR = 0.84, CI = 0.71-0.99; Medicaid: OR = 0.76, CI = 0.64-0.91) and those with Medicare were less likely to have cardiac enzymes ordered (OR = 0.84, CI = 0.72-0.98). CONCLUSIONS:Persistent racial and insurance disparities exist in the evaluation of chest pain in the ED. Compared to earlier studies, disparities in triage acuity and cardiac enzymes appear to have diminished, but disparities in ECG ordering have not. Given current Class I recommendations for ECGs on all patients presenting with chest pain emergently, our findings highlight the need for improvement in this area.
PMID: 31843328
ISSN: 1532-8171
CID: 5262842

A Multi-faceted Programmatic Approach Associated with Over 50% Reduction in In-hospital Mortality [Meeting Abstract]

Mukhopadhyay, Amrita; Cheung, Wai Sha (Sally); Yuriditsky, Eugene; Drus, Karsten; Wong, Quyen; Horowitz, James; Radford, Martha J.
ISSN: 0009-7322
CID: 5263732

Sex Differences in Myocardial Injury and Outcomes of Covid-19 Infection [Meeting Abstract]

Talmor, Nina; Mukhopadhyay, Amrita; Xia, Yuhe; Adhikari, Samrachana; Pulgarin, Claudia; Iturrate, Eduardo; Horwitz, Leora I.; Hochman, Judith S.; Berger, Jeffrey S.; Fishman, Glenn I.; Troxel, Andrea B.; Reynolds, Harmony
ISSN: 0009-7322
CID: 5263742


Chapter by: Mukhopadhyay, Amrita; Patchett, Nicholas D
in: Cases in hospital medicine : an evidence-based approach by Kanjee, Zahir; Liao, Joshua M (Ed)
Philadelphia : Wolters Kluwer, [2020]
pp. ?-
ISBN: 9781975111571
CID: 5266372

Impact of Data From a Prior Transthoracic Echocardiogram in the Identification of a Potential Cause for Syncope [Meeting Abstract]

Mukhopadhyay, Amrita; Shen, Changyu; Kiefer, Nicholas; Kriegel, Ari; Ali, Karima; Manning, Warren J.
ISSN: 0009-7322
CID: 5263702