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  1. Article ; Online: Best Practices and Challenges to the Practice of Rheumatologists.

    Wallace, Daniel J / Venuturupalli, R Swamy

    Rheumatic diseases clinics of North America

    2019  Volume 45, Issue 1, Page(s) xv–xvi

    MeSH term(s) Delivery of Health Care ; Humans ; Practice Patterns, Physicians' ; Rheumatology
    Language English
    Publishing date 2019-03-25
    Publishing country United States
    Document type Editorial
    ZDB-ID 92118-x
    ISSN 1558-3163 ; 0889-857X
    ISSN (online) 1558-3163
    ISSN 0889-857X
    DOI 10.1016/j.rdc.2018.10.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Digital Medicine in Rheumatology: Challenges and Opportunities.

    Venuturupalli, R Swamy / Sufka, Paul / Bhana, Suleman

    Rheumatic diseases clinics of North America

    2019  Volume 45, Issue 1, Page(s) 113–126

    Abstract: The exponential growth in technology has had a significant effect on the practice of medicine and will likely transform the practice of medicine. In this article, the authors review select technologies that are already influencing the practice of ... ...

    Abstract The exponential growth in technology has had a significant effect on the practice of medicine and will likely transform the practice of medicine. In this article, the authors review select technologies that are already influencing the practice of rheumatology. Social media Websites such as Twitter are now important sources of information and discussion for health care professionals interested in rheumatology. Virtual reality is an innovative technology with great potential for acute and chronic pain management. The authors also review several low-cost technology alternatives to commonly used tools used in rheumatology.
    MeSH term(s) Behavior Therapy ; Education, Medical ; Humans ; Information Dissemination ; Pain Management ; Physical Therapy Modalities ; Rheumatology ; Simulation Training ; Social Media ; Technology ; Virtual Reality
    Language English
    Publishing date 2019-03-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 92118-x
    ISSN 1558-3163 ; 0889-857X
    ISSN (online) 1558-3163
    ISSN 0889-857X
    DOI 10.1016/j.rdc.2018.09.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Addressing Competency in Rheumatology Telehealth Care Delivery.

    Zickuhr, Lisa / Albert, Daniel A / Herndon, Connie / Imundo, Lisa F / Lopker, Michael J / Marston, Bethany / Mian, Nabeela / O'Rourke, Kenneth / Torralba, Karina D / Westrich-Robertson, Tiffany / Venuturupalli, R Swamy / Kolfenbach, Jason / Bolster, Marcy B

    Arthritis care & research

    2023  Volume 75, Issue 6, Page(s) 1213–1219

    Abstract: Objective: Telehealth is an essential facet of care delivery for patients with rheumatic diseases. The Association of American Medical College's (AAMC) telehealth competencies (TCs) define the skills required for delivering general telehealth care ... ...

    Abstract Objective: Telehealth is an essential facet of care delivery for patients with rheumatic diseases. The Association of American Medical College's (AAMC) telehealth competencies (TCs) define the skills required for delivering general telehealth care across the range of clinician experience. In this study, the American College of Rheumatology's (ACR) TCs working group aimed to adapt the AAMC TCs to rheumatology, outlining the skills acquisition unique to rheumatology with a focus on knowledge, skills, and behaviors expected of recent rheumatology fellowship graduates.
    Methods: Through a collaborative process, the working group adapted the AAMC TCs to the training structure and practice of rheumatology. The rheumatology TCs underwent peer review among recipients of the Clinician Scholar Educator Award and attendees at the ACR 2021 Convergence conference.
    Results: The rheumatology TCs define 24 essential skills required for synchronous telehealth care of patients with rheumatic diseases. The working group adapted the AAMC's 20 TCs organized within 6 domains, added 2 skills to the AAMC's domains of patient safety and appropriate use, and data collection and assessment, and created a novel domain of systems-based requirements with 2 competencies. The rheumatology TCs define expected skill levels for recent rheumatology fellowship graduates and experienced rheumatology clinicians.
    Conclusion: The rheumatology TCs represent the first adaptation of the AAMC TCs to subspecialty care, expanding the scope to include rheumatology fellowship graduates and additional domains of rheumatology practice. These competencies can guide curricular innovations and measurements of proficiency in telehealth care delivery among rheumatology trainees and experienced clinicians, enhancing the care provided to patients with rheumatic diseases.
    MeSH term(s) Humans ; Rheumatology ; Rheumatic Diseases ; Education, Medical, Graduate ; Curriculum ; Telemedicine
    Language English
    Publishing date 2023-01-06
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 645059-3
    ISSN 2151-4658 ; 0893-7524 ; 2151-464X
    ISSN (online) 2151-4658
    ISSN 0893-7524 ; 2151-464X
    DOI 10.1002/acr.25023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Virtual Reality-Based Biofeedback and Guided Meditation in Rheumatology: A Pilot Study.

    Venuturupalli, R Swamy / Chu, Timothy / Vicari, Marcus / Kumar, Amit / Fortune, Natalie / Spielberg, Ben

    ACR open rheumatology

    2019  Volume 1, Issue 10, Page(s) 667–675

    Abstract: Objective: As technology continues to improve, it plays an increasingly vital role in the practice of medicine. This study aimed to assess the feasibility of the implementation of virtual reality (VR) in a rheumatology clinic as a platform to administer ...

    Abstract Objective: As technology continues to improve, it plays an increasingly vital role in the practice of medicine. This study aimed to assess the feasibility of the implementation of virtual reality (VR) in a rheumatology clinic as a platform to administer guided meditation and biofeedback as a means of reducing chronic pain.
    Methods: Twenty participants were recruited from a rheumatology clinic. These participants included adults with physician-diagnosed autoimmune disorders who were on a stable regimen of medication and had a score of at least 5 on the pain Visual Analog Scale (VAS) for a minimum of 4 days during the prior 30 days. VAS, part of most composite outcome measurements in rheumatology, is an instrument used to assess pain that consists of a straight line with the endpoints ranging from "no pain at all" and "pain as bad as it could be." Patients were randomized into two groups that differed in the order in which they experienced the two VR modules. One module consisted of a guided meditation (GM) environment, whereas the other module consisted of a respiratory biofeedback (BFD) environment. Data on pain and anxiety levels were gathered before, during, and after the two modules.
    Results: The three most common diagnoses among participants were rheumatoid arthiritis (RA), lupus, and fibromyalgia. There was a significant reduction in VAS scores after BFD and GM (
    Conclusion: This novel study demonstrated that VR could be a feasible solution for the management of pain and anxiety in rheumatology patients. Further trials with varying treatment exposures and durations are required to solidify the viability of VR as a treatment option in rheumatology clinics.
    Language English
    Publishing date 2019-11-11
    Publishing country United States
    Document type Journal Article
    ISSN 2578-5745
    ISSN (online) 2578-5745
    DOI 10.1002/acr2.11092
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Examining Treatment Decision-Making Among Patients With Axial Spondyloarthritis: Insights From a Conjoint Analysis Survey.

    Joo, Woojin / Almario, Christopher V / Ishimori, Mariko / Park, Yujin / Jusufagic, Alma / Noah, Benjamin / Gensler, Lianne S / Venuturupalli, R Swamy / Kay, Jonathan / Weisman, Michael H / Spiegel, Brennan M R

    ACR open rheumatology

    2020  Volume 2, Issue 7, Page(s) 391–400

    Abstract: Objective: The number of therapies for axial spondyloarthritis (axSpA) is increasing. Thus, it has become more challenging for patients and physicians to navigate the risk-benefit profiles of the various treatment options. In this study, we used ... ...

    Abstract Objective: The number of therapies for axial spondyloarthritis (axSpA) is increasing. Thus, it has become more challenging for patients and physicians to navigate the risk-benefit profiles of the various treatment options. In this study, we used conjoint analysis-a form of trade-off analysis that elucidates how people make complex decisions by balancing competing factors-to examine patient decision-making surrounding medication options for axSpA.
    Methods: We conducted an adaptive choice-based conjoint analysis survey for patients with axSpA to assess the relative importance of medication attributes (eg, chance of symptom improvement, risk of side effects, route of administration, etc) in their decision-making. We also performed logistic regression to explore whether patient demographics and disease characteristics predicted decision-making.
    Results: Overall, 397 patients with axSpA completed the conjoint analysis survey. Patients prioritized medication efficacy (importance score 26.8%), cost (26.3%), and route of administration (13.9%) as most important in their decision-making. These were followed by risk of lymphoma (9.5%), dosing frequency (7.2%), risk of serious infection (6.0%), tolerability of side effects (5.3%), and clinic visit and laboratory test frequency (4.8%). In regression analyses, there were few significant associations between patients' treatment preferences and sociodemographic and axSpA characteristics.
    Conclusions: Treatment decision-making in axSpA is highly individualized, and demographics and baseline disease characteristics are poor predictors of individual preferences. This calls for the development of online shared decision-making tools for patients and providers, with the goal of selecting a treatment that is consistent with patients' preferences.
    Language English
    Publishing date 2020-06-09
    Publishing country United States
    Document type Journal Article
    ISSN 2578-5745
    ISSN (online) 2578-5745
    DOI 10.1002/acr2.11151
    Database MEDical Literature Analysis and Retrieval System OnLINE

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