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  1. Book: COVID-19 and gastroenterology

    Cappell, Mitchell S.

    (Gastroenterology clinics of North America ; volume 52, number 1 (March 2023))

    2023  

    Author's details editor Mitchell S. Cappell
    Series title Gastroenterology clinics of North America ; volume 52, number 1 (March 2023)
    Collection
    Language English
    Size xix, 259 Seiten, Illustrationen
    Publisher Elsevier
    Publishing place Philadelphia, Pennsylvania
    Publishing country United States
    Document type Book
    HBZ-ID HT021875386
    ISBN 978-0-443-18216-7 ; 0-443-18216-7
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: A Novel and Sudden Indication for Telemedicine: Converting a Physical Consult Into Telemedicine due to Inclement Weather.

    Cappell, Mitchell S

    The American journal of gastroenterology

    2023  Volume 118, Issue 8, Page(s) 1461

    MeSH term(s) Humans ; Weather ; Telemedicine ; Referral and Consultation ; Physical Examination
    Language English
    Publishing date 2023-07-30
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 390122-1
    ISSN 1572-0241 ; 0002-9270
    ISSN (online) 1572-0241
    ISSN 0002-9270
    DOI 10.14309/ajg.0000000000002237
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pathogenic Variant Intraductal Papillary Mucinous Neoplasms Tumors Show Increased Tumor Growth Compared With Those With Familial Pancreatic Cancer Kindreds: Prognostic Indicators.

    Cappell, Mitchell S / Tobi, Martin

    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

    2024  

    Language English
    Publishing date 2024-02-06
    Publishing country United States
    Document type Letter
    ZDB-ID 2119789-1
    ISSN 1542-7714 ; 1542-3565
    ISSN (online) 1542-7714
    ISSN 1542-3565
    DOI 10.1016/j.cgh.2024.01.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Gastrointestinal, Hepatic, and Pancreatic Manifestations of COVID-19 Infection.

    Cappell, Mitchell S

    Gastroenterology clinics of North America

    2022  Volume 52, Issue 1, Page(s) xvii–xix

    MeSH term(s) Humans ; COVID-19 ; Liver ; Gastrointestinal Tract ; Gastrointestinal Diseases
    Language English
    Publishing date 2022-12-22
    Publishing country United States
    Document type Editorial
    ZDB-ID 92114-2
    ISSN 1558-1942 ; 0889-8553
    ISSN (online) 1558-1942
    ISSN 0889-8553
    DOI 10.1016/j.gtc.2022.12.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Critical Review Two-Years Thereafter of the Effectiveness of the Revolutionary Changes in a Gastroenterology Division at A Medical School Teaching Hospital in Response to the COVID-19 Pandemic: Medical School, Residency, and Gastrointestinal Fellowship Education and Clinical Practice of Gastroenterology Attendings and Gastrointestinal Endoscopy.

    Cappell, Mitchell S

    Gastroenterology clinics of North America

    2022  Volume 52, Issue 1, Page(s) 215–234

    Abstract: Profound and pervasive GI divisional changes maximized clinical resources devoted to COVID-19-infected patients and minimized risks of transmitting infection. Academic changes degraded by massive cost-cutting while offering institution to about 100 ... ...

    Abstract Profound and pervasive GI divisional changes maximized clinical resources devoted to COVID-19-infected patients and minimized risks of transmitting infection. Academic changes degraded by massive cost-cutting while offering institution to about 100 hospital systems and eventually "selling" institution to Spectrum Health, without faculty input.
    MeSH term(s) Humans ; COVID-19 ; Gastroenterology ; Internship and Residency ; Schools, Medical ; Fellowships and Scholarships ; Pandemics ; Endoscopy, Gastrointestinal ; Hospitals, Teaching
    Language English
    Publishing date 2022-12-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 92114-2
    ISSN 1558-1942 ; 0889-8553
    ISSN (online) 1558-1942
    ISSN 0889-8553
    DOI 10.1016/j.gtc.2022.12.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A Critical Review from the Perspective of 2 Years Thereafter of the Effectiveness of Revolutionary Changes in a Gastroenterology Division at a Medical School Teaching Hospital due to the Coronavirus Disease-2019 Pandemic: Gastrointestinal Physician Clinical Practice and Emotional Stresses, Gastrointestinal Graduate Medical Education, Gastrointestinal Professional Societies, and Pandemic Control.

    Cappell, Mitchell S

    Gastroenterology clinics of North America

    2022  Volume 52, Issue 1, Page(s) 235–259

    Abstract: Aim: Critically review approximately 2 years afterward the effectiveness of revolutionary changes at an academic gastroenterology division from coronavirus disease-2019 (COVID-19) pandemic surge at the metropolitan Detroit epicenter from 0 infected ... ...

    Abstract Aim: Critically review approximately 2 years afterward the effectiveness of revolutionary changes at an academic gastroenterology division from coronavirus disease-2019 (COVID-19) pandemic surge at the metropolitan Detroit epicenter from 0 infected patients on March 9, 2020, to >300 infected patients (one-quarter of) in-hospital census in April 2020 and >200 infected patients in April 2021.
    Setting: GI Division, William Beaumont Hospital which had 36 GI clinical faculty who used to perform >23,000 endoscopies annually with a massive plunge in endoscopy volume during the past 2 years; fully accredited GI fellowship since 1973; employs >400 house staff annually since 1995; predominantly voluntary attendings; and primary teaching hospital, Oakland-University-Medical-School.
    Methods: Expert opinion, based on: Hospital GI chief >14 years until September 2019; GI fellowship program director, at several hospitals for>20 years; author of 320 publications in peer-reviewed GI journals; and committee-member Food-and-Drug-Administration-GI-Advisory Committee for >5 years. Original study exempted by Hospital Institutional Review Board (IRB), April 14, 2020. IRB approval is not required for the present study because this opinion is based on previously published data. Advantageous changes: Division reorganized patient care to add clinical capacity and minimize risks to staff of contracting COVID-19. Affiliated medical school changes included: changing "live" to virtual lectures, meetings, and conferences. Initially, virtual meetings usually used telephone conferencing which proved cumbersome until meetings were changed to completely computerized virtual meetings using Microsoft Teams or Google Zoom, which performed superbly. Some clinical electives were canceled for medical students and residents because of the need to prioritize car for COVID-19 infection during the pandemic, and medical students graduated on time despite partly missing electives. Division reorganized by changing "live" GI lectures to virtual lectures; by four GI fellows temporarily reassigned as medical attendings supervising COVID-19-infected patients; postponing elective GI endoscopies; and drastically reducing an average number of endoscopies from 100/weekday to a small fraction long-term! GI clinic visits were reduced by half by postponing nonurgent visits, and physical visits were replaced by virtual visits. Economic pandemic impact included a temporary, hospital deficit initially relieved by federal grants and hospital employee terminations. GI program director contacted GI fellows twice weekly to monitor pandemic-induced stress. Applicants for GI fellowship were interviewed virtually. Graduate medical education changes included weekly committee meetings to monitor pandemic-induced changes; program managers working from home; canceling annual ACGME fellowship survey, ACGME site visits, and national GI conventions changed from physical to virtual. Dubious changes: Temporarily mandated intubation of COVID-19-infected patients for EGD; temporarily exempted GI fellows from endoscopy duties during surge; fired highly respected anesthesiology group employed for 20 years during pandemic leading to anesthesiology shortages, and abruptly firing without warning or cause numerous senior respected faculty who greatly contributed to research, academics, and reputation.
    Conclusion: Profound and pervasive GI divisional changes maximized clinical resources devoted to COVID-19-infected patients and minimized risks of transmitting infection. Academic changes were degraded by massive cost-cutting while offering institutions to about 100 hospital systems and eventually "selling" institutions to Spectrum Health, without faculty input.
    MeSH term(s) Humans ; COVID-19 ; Gastroenterology ; Schools, Medical ; Pandemics ; Education, Medical, Graduate ; Physicians ; Hospitals, Teaching ; Coronavirus
    Language English
    Publishing date 2022-12-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 92114-2
    ISSN 1558-1942 ; 0889-8553
    ISSN (online) 1558-1942
    ISSN 0889-8553
    DOI 10.1016/j.gtc.2022.12.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Hospitals and All Stakeholders, Including ERCP Personnel, Should Equitably Share Profits from Cost Savings from Decreased Hospital LOS by Performing Non-emergent ERCPs on Weekends.

    Cappell, Mitchell S

    Digestive diseases and sciences

    2021  Volume 66, Issue 5, Page(s) 1761–1762

    MeSH term(s) Cholangiopancreatography, Endoscopic Retrograde ; Cost Savings ; Hospitals ; Humans ; Length of Stay
    Language English
    Publishing date 2021-03-20
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 304250-9
    ISSN 1573-2568 ; 0163-2116
    ISSN (online) 1573-2568
    ISSN 0163-2116
    DOI 10.1007/s10620-020-06785-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Novel Modifications for a Virtual Interview Visit to Simulate the Traditional, Live, Site Visit for GI Fellowship Applicants for an Academic GI Fellowship Program Due to the COVID-19 Pandemic.

    Cappell, Mitchell S

    Digestive diseases and sciences

    2021  Volume 66, Issue 4, Page(s) 1370–1371

    MeSH term(s) COVID-19/prevention & control ; Fellowships and Scholarships ; Gastroenterology/education ; Hospitals, University/organization & administration ; Humans ; Internship and Residency ; Interviews as Topic/methods ; SARS-CoV-2 ; Videoconferencing
    Language English
    Publishing date 2021-01-26
    Publishing country United States
    Document type Letter
    ZDB-ID 304250-9
    ISSN 1573-2568 ; 0163-2116
    ISSN (online) 1573-2568
    ISSN 0163-2116
    DOI 10.1007/s10620-020-06741-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Local COVID-19 Epicenter in Detroit Metropolitan Area Causing Profound and Pervasive Reorganization of Clinical, Educational, Research, and Financial Programs of a Large Academic Gastroenterology Division with a GI Fellowship and Primary Medical School Affiliation.

    Cappell, Mitchell S

    Digestive diseases and sciences

    2021  Volume 66, Issue 11, Page(s) 3635–3658

    Abstract: Aim: To report revolutionary reorganization of academic gastroenterology division from COVID-19 pandemic surge at metropolitan Detroit epicenter from 0 infected patients on March 9, 2020, to > 300 infected patients in hospital census in April 2020 and >  ...

    Abstract Aim: To report revolutionary reorganization of academic gastroenterology division from COVID-19 pandemic surge at metropolitan Detroit epicenter from 0 infected patients on March 9, 2020, to > 300 infected patients in hospital census in April 2020 and > 200 infected patients in April 2021.
    Setting: GI Division, William Beaumont Hospital, Royal Oak, has 36 GI clinical faculty; performs > 23,000 endoscopies annually; fully accredited GI fellowship since 1973; employs > 400 house staff annually since 1995; tertiary academic hospital; predominantly voluntary attendings; and primary teaching hospital, Oakland-University-Medical-School.
    Methods: This was a prospective study. Expert opinion. Personal experience includes Hospital GI chief > 14 years until 2020; GI fellowship program director, several hospitals > 20 years; author of > 300 publications in peer-reviewed GI journals; committee-member, Food-and-Drug-Administration-GI-Advisory Committee > 5 years; and key hospital/medical school committee memberships. Computerized PubMed literature review was performed on hospital changes and pandemic. Study was exempted/approved by Hospital IRB, April 14, 2020.
    Results: Division reorganized patient care to add clinical capacity and minimize risks to staff of contracting COVID-19 infection. Affiliated medical school changes included: changing "live" to virtual lectures; canceling medical student GI electives; exempting medical students from treating COVID-19-infected patients; and graduating medical students on time despite partly missing clinical electives. Division was reorganized by changing "live" GI lectures to virtual lectures; four GI fellows temporarily reassigned as medical attendings supervising COVID-19-infected patients; temporarily mandated intubation of COVID-19-infected patients for esophagogastroduodenoscopy; postponing elective GI endoscopies; and reducing average number of endoscopies from 100 to 4 per weekday during pandemic peak! GI clinic visits reduced by half (postponing non-urgent visits), and physical visits replaced by virtual visits. Economic pandemic impact included temporary, hospital deficit subsequently relieved by federal grants; hospital employee terminations/furloughs; and severe temporary decline in GI practitioner's income during surge. Hospital temporarily enhanced security and gradually ameliorated facemask shortage. GI program director contacted GI fellows twice weekly to ameliorate pandemic-induced stress. Divisional parties held virtually. GI fellowship applicants interviewed virtually. Graduate medical education changes included weekly committee meetings to monitor pandemic-induced changes; program managers working from home; canceling ACGME annual fellowship survey, changing ACGME physical to virtual site visits; and changing national conventions from physical to virtual.
    Conclusion: Reports profound and pervasive GI divisional changes to maximize clinical resources devoted to COVID-19-infected patients and minimize risks of transmitting infection.
    MeSH term(s) COVID-19/economics ; COVID-19/epidemiology ; Cities/economics ; Cities/epidemiology ; Economics, Hospital/organization & administration ; Education, Medical, Graduate/organization & administration ; Gastroenterology/economics ; Gastroenterology/education ; Hospital Administration/economics ; Hospital Administration/methods ; Humans ; Internship and Residency ; Michigan/epidemiology ; Organizational Affiliation/economics ; Organizational Affiliation/organization & administration ; Prospective Studies ; SARS-CoV-2 ; Schools, Medical/organization & administration
    Language English
    Publishing date 2021-09-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 304250-9
    ISSN 1573-2568 ; 0163-2116
    ISSN (online) 1573-2568
    ISSN 0163-2116
    DOI 10.1007/s10620-021-07192-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Improving the Safety of Endoscopy in Pregnancy: Approaching Gravidity with Gravitas.

    Cappell, Mitchell S

    Digestive diseases and sciences

    2020  Volume 65, Issue 10, Page(s) 2745–2748

    MeSH term(s) Colitis, Ulcerative ; Female ; Gravidity ; Humans ; Inflammatory Bowel Diseases ; Pregnancy ; Sigmoidoscopy
    Language English
    Publishing date 2020-08-19
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 304250-9
    ISSN 1573-2568 ; 0163-2116
    ISSN (online) 1573-2568
    ISSN 0163-2116
    DOI 10.1007/s10620-020-06557-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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