A5004294330- Hospital Admissions and Outcomes
- Innovations in Medical Education
- Emergency and Acute Care Studies
- Clinical Reasoning and Diagnostic Skills
- Social Media in Health Education
- Patient Safety and Medication Errors
- Healthcare Policy and Management
- Simulation-Based Education in Healthcare
- Medical Education and Admissions
- Health Literacy and Information Accessibility
- Radiology practices and education
- Diversity and Career in Medicine
- Interprofessional Education and Collaboration
- Advances in Oncology and Radiotherapy
- Patient-Provider Communication in Healthcare
- Primary Care and Health Outcomes
- Electronic Health Records Systems
- Global Health Workforce Issues
- Health Sciences Research and Education
- Healthcare Systems and Technology
- Healthcare cost, quality, practices
- Nursing Roles and Practices
- Pharmaceutical industry and healthcare
- Liver Disease Diagnosis and Treatment
- Health Systems, Economic Evaluations, Quality of Life
University of Chicago
2015-2024
University of California, San Francisco
2016-2023
Duke University Hospital
2023
Duke Medical Center
2023
Murphy Oil Corporation (United States)
2012-2021
University of Illinois Chicago
2017-2018
Association of American Medical Colleges
2010-2018
Columbia University
2018
NorthShore University HealthSystem
2010-2017
United States Department of Defense
2017
User-created content and communications on Web-based applications, such as networking sites, media sharing or blog platforms, have dramatically increased in popularity over the past several years, but there has been little policy guidance best practices to inform standards for professional conduct of physicians digital environment. Areas specific concern include use nonclinical purposes, implications confidentiality, social patient education, how all this affects public's trust...
Little is known regarding how internal medicine residents manage uncertainty during decision making and subsequent effects on patient care. The aims of this study were to describe types faced by residents, strategies employed care.Using critical incident technique, asked recall important clinical decisions a recent call night, with probes identify made uncertainty. They also report who they approached for advice. Three authors independently coded transcripts using the constant comparative...
Abstract BACKGROUND: Communication and coordination with primary care physicians (PCPs) is recommended to ensure safe transitions for hospitalized older patients. Understanding patient experiences of problems after discharge can help clinical teams design more patient‐centered transitions. OBJECTIVE: To report patients' hospital investigate whether PCPs were aware their hospitalization. DESIGN: Prospective mixed methods study. SETTING: Single academic medical center. PATIENTS: Hospitalized...
While medical education has remained relatively constant over the past century, rising popularity of internet-based technologies, such as applications for social networking, media sharing, or blogging, drastically changed way in which physicians-in-training interact with educators, peers, and outside world. The implementation these new technologies creates challenges opportunities educators. Representation, absence established policies legal precedents, perception lay public exemplify some...
BACKGROUND Medical supervisors struggle to find meaningful ways evaluate the preparedness of trainees independently perform patient care tasks. The aim this study was describe factors that influence how attending and resident physician perceptions trust impact decision making. METHODS Internal medicine residents physicians at a tertiary academic medical center were interviewed during single year. Participants asked describe, using critical incident technique, entrustment decisions made their...
Background Students' perceptions of and participation in unprofessional behaviors may change during clinical clerkships. Method Third-year students anonymously reported observation, participation, 27 before five months after Results Student observation (21 27) (17 increased (P < .05). Students perceived as increasingly appropriate .05 for six behaviors). Participation was associated with diminished likelihood perceiving a behavior nine Conclusions is these acceptable.
To assess faculty perceptions of professional boundaries and trainee-posted content on social networking sites (SNS).In June 2010, the Clerkship Directors in Internal Medicine conducted its annual survey U.S. Canadian member institutions. The included sections demographics networking. authors used descriptive statistics tests association to analyze Likert scale responses qualitatively analyzed free-text responses.Of 110 institutional members, 82 (75%) responded survey. Of 40 respondents who...
Background Safe patient transitions depend on effective communication and a functioning care coordination process. Evidence suggests that primary physicians are not satisfied with at transition points between inpatient ambulatory care, often is provided in timely manner, omits essential information, or contains ambiguities put patients risk. Objective Our aim was to demonstrate how process mapping can illustrate current handover practices settings, identify existing barriers facilitators of...
Abstract BACKGROUND: New supervisory regulations highlight the challenge of balancing housestaff supervision and autonomy. To better understand impact increased on residency training, we investigated perceptions education, autonomy, clinical decision‐making before after implementation an in‐hospital, overnight attending physician (nocturnist). METHODS: We established a nocturnist program in July 2010 at our academic, tertiary care medical center. administered pre‐surveys post‐surveys...
Although important to recovery, sleeping in the hospital is difficult because of disruptions. Understanding how patients, physicians, and nurses perceive sleep disruptions identifying which are associated with objective loss can help target improvement initiatives.Patients staff completed Potential Hospital Sleep Disruptions Noises Questionnaire (PHSDNQ). Cutoff points were defined based on means, responses dichotomized. Perceived percent disrupted for each item was calculated, compared...
Patient safety curricula in undergraduate medical education (UME) are often didactic format with little focus on skills training. Despite recent safety, practical training residency is also lacking. Assessments of UME and graduate (GME) generally knowledge, not application-focused. We aimed to develop pilot a safety-focused simulation students interns assess knowledge regarding hazards hospitalisation.A demonstrating common hospital-based threats was designed. A case scenario created...
We created Sleep for Inpatients: Empowering Staff to Act (SIESTA), which combines electronic “nudges” forgo nocturnal vitals and medications with interprofessional education on improving patient sleep. In one “SIESTA‐enhanced unit,” nurses received coaching integrated SIESTA into daily huddles; a standard unit did not. Six months pre‐ post‐SIESTA, sleep‐friendly orders rose in both units (foregoing vital signs: unit, 4% 34%; standard, 3% 22%, P < .001 both; sleep‐promoting VTE...
The rising popularity of digital applications, such as social networking, media share sites, and blogging, has significantly affected how medical trainees interact with educators, colleagues, the public. Despite increased use applications amongst current generation trainees, educators have little evidence or guidance about preventing misuse ensuring standards for professional conduct. As become more technologically savvy, it is responsibility to familiarize themselves not only advantages...
Aims and objectives. Test the feasibility validity of a handoff evaluation tool for nurses. Background. No validated tools exist to assess quality communication during change shift. Design. Prospective cohort study. Methods. A standardised tool, Handoff CEX, was developed based on mini‐CEX. The consisted seven domains scored 1–9 scale. Nurse educators observed shift‐to‐shift reports among nurses evaluated both provider recipient report. Nurses participating in report simultaneously each...
BACKGROUND Increasing frequency of shift‐to‐shift handoffs coupled with regulatory requirements to evaluate handoff quality make a evaluation tool necessary. OBJECTIVE To develop tool. DESIGN Tool development. SETTING Two academic medical centers. SUBJECTS Nurse practitioners, medicine housestaff, and hospitalist attendings. INTERVENTION Concurrent peer external evaluations handoffs. MEASUREMENTS The Handoff CEX (clinical exercise) consists 6 subdomains 1 overall assessment, each scored from...
ABSTRACT Background Attending rounds is a key component of patient care and education at teaching hospitals, yet there an absence studies addressing trainees' perceptions rounds. Objective To determine pediatrics internal medicine residents about the current ideal purposes inpatient on hospitalist services. Methods In this multi-institutional qualitative study, authors conducted focus groups with purposive sample 4 hospitals. The constant comparative method was used to identify themes codes....
Abstract BACKGROUND: Little data exist to inform hospitalist communication during service changes. OBJECTIVE: To characterize handoffs DESIGN: Serial survey study. SETTING: Single academic medical center. MEASUREMENTS: From May December 2007, 60 changes among 17 hospitalists on a nonteaching were targeted for evaluation using an anonymous 18‐item that was completed by within 48 hours of assuming care patients. Survey items assessed completeness handoff communication, certainty patient plans,...
Background The increasing fragmentation of healthcare has resulted in more patient handoffs. Many professional groups, including the Accreditation Council on Graduate Medical Education and Society Hospital Medicine, have made recommendations for safe effective Despite two-way nature handoff communication, focus these efforts largely been person giving information. Objective To observe characterise listening behaviours receivers during hospitalist Design Prospective observational study shift...
Residency clinician-educator tracks have been created; however, they generally limited to a single discipline or program and experienced some challenges. The Graduate Medical Education Scholars Track (GMEST), an embedded longitudinal, multimodal, multidisciplinary track for residents, was piloted at the Pritzker School of Medicine, University Chicago, in academic year 2014-2015.The GMEST is two-year experience completed during residency training. goal prepare trainees careers as...