A5071739161- Innovations in Medical Education
- Primary Care and Health Outcomes
- Hospital Admissions and Outcomes
- Menopause: Health Impacts and Treatments
- Healthcare cost, quality, practices
- Clinical Reasoning and Diagnostic Skills
- Healthcare Policy and Management
- Clinical practice guidelines implementation
- Estrogen and related hormone effects
- Global Cancer Incidence and Screening
- Alcohol Consumption and Health Effects
- Health and Medical Research Impacts
- Cervical Cancer and HPV Research
- Cancer Risks and Factors
- Health Promotion and Cardiovascular Prevention
- Patient Safety and Medication Errors
- LGBTQ Health, Identity, and Policy
- Cancer survivorship and care
- Global Health Workforce Issues
- Eosinophilic Esophagitis
- Liver Disease Diagnosis and Treatment
- Sleep and Work-Related Fatigue
- Venous Thromboembolism Diagnosis and Management
- Palliative Care and End-of-Life Issues
- Intensive Care Unit Cognitive Disorders
Beth Israel Deaconess Medical Center
2013-2024
Harvard University
2003-2024
Sidney Kimmel Comprehensive Cancer Center
2018
Society of General Internal Medicine
2015
Massachusetts General Hospital
2015
Harvard Affiliated Emergency Medicine Residency
2013
Hadassah Medical Center
2011-2013
Duke University
2013
Penn State Milton S. Hershey Medical Center
2013
University of Pennsylvania
1996-2007
The flipped classroom is a teaching approach with strong evidence for effectiveness in undergraduate medical education. Objective data its implementation graduate education are limited.We assessed the efficacy of compared standard approaches on knowledge acquisition and retention residency education.During academic year 2016-2017, 63 interns large internal program their ambulatory block were randomized to or during 6-hour cardiovascular prevention curriculum. primary outcome was performance...
Beth Israel Deaconess Medical Center's internal medicine residency program was admitted to the new Education Innovation Project accreditation pathway of Accreditation Council Graduate begin in July 2006. The authors restructured inpatient medical service create clinical microsystems which residents practice throughout residency. Program leadership then mandated an active curriculum quality improvement based those microsystems. To provide experience every graduating resident, a core faculty...
Current regulations for internal medicine residency programs require scheduling that minimizes conflict between inpatient and outpatient responsibilities. To meet these regulations, the program at Beth Israel Deaconess Medical Center implemented a unique model--the Alternating Call Elective Scheduling (ACES) model-in July 2009.Beginning in academic year 2009-2010, authors restructured schedules their 95 postgraduate 2 3 residents using ACES model. They report pre- postimplementation...
Background: Medical record audits have been used to provide physicians with feedback about their compliance preventive health and disease management recommendations. Purpose: To determine if report cards summarizing medicine residents' practices can be as a tool improve practice performance. Methods: Randomized, blinded, controlled study of 44 internal residents using an individualized 78-item card based on outpatient audits. Results: Four hundred ninety-seven charts were retrospectively...
Physicians and patients have come to expect that periodic health examinations (PHEs) are a standard part of comprehensive ongoing medical care. However, considerable research has not demonstrated substantial benefit the PHE. Given this lack high total cost PHE care system, American Board Internal Medicine (ABIM) Foundation Society General (SGIM) identified “routine checks in asymptomatic patients” as something low value physicians should question, Choosing Wisely campaign. Two discussants...
Pelvic examinations have historically been a part of regular preventive care. However, because women can now be screened for cervical cancer at intervals up to every 5 years, the question whether need seen annually routine pelvic has arisen. In July 2014, American College Physicians (ACP) issued guideline presenting available evidence on screening pathologic conditions using examination in adult, asymptomatic average risk. The Obstetricians and Gynecologists (ACOG) Committee Gynecologic...
Panelists discuss the effects of controversial ACGME regulations regarding duty hours and supervision.
The Accreditation Council for Graduate Medical Education Resident-Fellow Survey measurement of compliance with duty hours uses remote retrospective resident report, the accuracy which has not been studied. We investigated residents' recall 16-hour call-shift and workload characteristics at 1 institution.We sent daily surveys to second- third-year internal medicine residents immediately after call shifts from July 2011 June 2012 assess shift length characteristics. In 2012, we a survey...
The Internal Medicine Educational Innovations Project (EIP) is a 10-year pilot project for innovating in accreditation, which involves annual reporting of information and less-restrictive requirements group high-performing programs. EIP program directors' experiences offer insight into the benefits challenges innovative approaches to accreditation as Accreditation Council Graduate Medical Education transitions Next System.
Nonalcoholic fatty liver disease (NAFLD), a common diagnosis in the United States and other developed countries, has been increasing prevalence. The American Association for Study of Liver Diseases recently published updated practice guidelines diagnosing managing NAFLD, including following recommendations: Routine screening NAFLD high-risk groups is not advised because uncertainties surrounding test treatment options, along with lack knowledge about cost-effectiveness long-term benefits....
The term transgender refers to persons whose gender identity is different from that recorded at birth. Similar other marginalized populations, patients commonly experience discrimination in the health care setting, and they may not have access medical professionals who can provide competent care. In addition primary preventive care, need gender-affirming interventions, including hormone therapy surgeries. 2017, Endocrine Society updated its clinical practice guideline for of on basis best...
Sepsis is a potentially life-threatening systemic dysregulatory response to infection, and septic shock occurs when sepsis leads vasodilation subsequent tissue hypoperfusion. The Surviving Campaign published updated guidelines in 2021 on the management of shock. Here, context patient with shock, 2 critical care specialists discuss debate conditional guideline recommendations using lactate guide resuscitation, use balanced crystalloids versus normal saline, corticosteroids.
The U.S. Preventive Services Task Force (USPSTF) recently issued guidelines on screening for vitamin D deficiency. were based randomized trials of deficiency and treatment, as well case–control studies nested within the Women's Health Initiative. USPSTF concluded that current evidence is insufficient to assess benefits harms in asymptomatic adults. Compared with placebo or no was associated decreased mortality; however, longer seen after institutionalized persons excluded. Vitamin treatment...