A5035180483- Innovations in Medical Education
- Healthcare cost, quality, practices
- Clinical Reasoning and Diagnostic Skills
- Frailty in Older Adults
- Chronic Disease Management Strategies
- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Simulation-Based Education in Healthcare
- Nutrition and Health in Aging
- Diversity and Career in Medicine
- Hospital Admissions and Outcomes
- Global Cancer Incidence and Screening
- Empathy and Medical Education
- Global Health Workforce Issues
- Radiology practices and education
- Colorectal Cancer Screening and Detection
- Interprofessional Education and Collaboration
- Emergency and Acute Care Studies
- Medical Malpractice and Liability Issues
- Medical Education and Admissions
- Aging and Gerontology Research
- Geriatric Care and Nursing Homes
- Health and Medical Research Impacts
- Healthcare Quality and Management
- Disability Education and Employment
Johns Hopkins University
2013-2023
Johns Hopkins Medicine
2013-2023
Johns Hopkins Hospital
2021-2022
Johns Hopkins Bayview Medical Center
2010-2013
Weatherford College
2010
National Center for Geriatrics and Gerontology
2009
University of Rochester
1998
To explore what third-year medical students learn from residents and which teaching strategies are used by excellent resident teachers in their interactions with the clinical workplace environment.In this multi-institutional qualitative study between January March 2012, authors conducted focus groups who were midway through third year. Qualitative analysis was to identify themes.Thirty-seven participated. Students contributed 228 comments related methods residents. The categorized these into...
<h3>Importance</h3> Clinical practice recommendations increasingly advocate that older patients’ life expectancy be considered to inform a number of clinical decisions. It is not clear how primary care practitioners approach these in their practice. <h3>Objective</h3> To explore the range perspectives from on long-term prognosis, defined as prognosis regarding years, adults. <h3>Design, Setting, and Participants</h3> A qualitative, semistructured interview study was conducted large group...
The career decisions, practice patterns, and approach to patient care of current female students, who make up close 50% medical school classes, will have a profound impact on the profession. This study explores role gender plays in mentoring experiences students.In 2011, authors conducted focus groups with 48 third- fourth-year students at four U.S. schools. Using template organizing style, they derived themes an iterative process explore students' relationships those relationships.The...
Older adults with limited life expectancy frequently receive cancer screening. We sought to compare the perspectives of clinicians and older on how communicate about stopping screening.We used data from two studies involving semistructured in-person individual interviews, in which we asked communication screening, 28 primary care 40 community-dwelling adults, respectively.We identified three major themes: (a) Consensus among regarding around Both groups considered discussing benefits/risks...
Chronic low back pain (CLBP) is a common and debilitating problem in older adults. Little exists the literature about primary care physicians' (PCPs') knowledge of confidence managing this problem. A self-administered survey was mailed to PCPs western Pennsylvania measure evaluation treatment contributors CLBP adults, diagnosing these through physical examination, association between levels knowledge. The combined items with an ordinal scale on which ranked their detecting various (e.g.,...
The clinical skills needed to practice high-value care (HVC) are core all medical disciplines. Medical students form habits early, and HVC instruction is essential this formation. purpose of study was describe the state assessment in internal medicine clerkships identify needs for additional curricula.In 2014, Clerkship Directors Internal Medicine conducted its annual survey 121 U.S. Canadian schools. authors evaluated a subset questions from that asking clerkship directors about perceived...
Because safe transitions of care are critical to patient safety, it is important prepare physician trainees assist in from the hospital. As part a discharge skills workshop for medical students, brief reflective exercise was used understand student perceptions problems and encourage application classroom learning. Written reflections completed before after were analyzed qualitatively identify barriers observed on clinical clerkships evaluate how influenced understanding discharges. Students...
OPEN ACCESSApril 27, 2021End-of-Life Care: A Multimodal and Comprehensive Curriculum for Graduating Medical Students Utilizing Experiential Learning Opportunities Justin M. Jeffers, MD, MEHP, Sharon Bord, Jody E. Hooper, Carol Fleishman, PhD, CHSE, Danelle Cayea, MS, Brian Garibaldi, MEHP https://orcid.org/0000-0001-6259-8085 Assistant Professor, Department of Pediatrics, Division Pediatric Emergency Medicine, Johns Hopkins University School Medicine E-mail Address: [email protected] , MD...
Physicians spend less time at the bedside in modern hospital setting which has contributed to a decline physical diagnosis, and particular, cardiopulmonary examination skills. This trend may be source of diagnostic error threatens erode patient-physician relationship. We created new diagnosis curriculum assessed its effects on post-graduate year-1 (PGY-1; interns) attitudes, confidence skill.One hundred five internal medicine interns large U.S. residency program participated Advancing...
The purpose of this study was to assess changes in students' perceptions the medical school sense community and their satisfaction with advising following initiation a structured program at Johns Hopkins University School Medicine.
Summary Background Most medical schools teach a high‐value care ( HVC ) curriculum during the clinical years. Currently, there lacks any research demonstrating effectiveness of taught to students in their first year school. Methods A total 118 466 first‐year at Johns Hopkins School Medicine between 2013 and 2017 enrolled on an course that provided initial framework necessary practice cost‐conscious medicine. The was evaluated by comparing performance who completed with without training,...
Prognosis is a critical consideration in caring for older adults with multiple chronic conditions, or "multimorbidity". Clinicians are not adequately trained this area. We describe an innovative curriculum that teaches internal medicine residents how to incorporate prognosis the care of multimorbidity. The includes three small-group sessions and clinical exercise; it focuses on assessment, communication, application inform decisions. was implemented 20 first-year at one university-based...
Advising medical students is a challenging task. Faculty who serve as advisors for require specific skills and knowledge to do their jobs effectively. Career choice one of the many complex issues about which often seek assistance from faculty advisor. The authors present case third-year student with career indecision, focus on various factors that may be influencing her thinking choice. Key advising principles are provided framework discussion include reflection, self-disclosure, active...
Rising and burdensome health care costs have driven interest in the practice of high-value (HVC) inspired calls for increased HVC training across all levels medical education, including among undergraduate students.Classroom-based curricula targeted to students not been previously described literature.We developed evaluated a workshop comprising lecture, small-group exercise group discussion instruct on interpreting cost-effectiveness analyses (CEA), applying CEA patient discussing cost with...
Summer training in aging research for medical students is a strategy improving the pipeline of into careers and clinical care older adults. Johns Hopkins University has been offering summer experience mentored research, training, shadowing since 1994. Long-term outcomes this program have not described. The authors surveyed all 191 participants who had from 1994-2010 (60% female 27% underrepresented minorities) received 65.8% (N = 125) response rate. also conducted Google other online...
Phenomenon: Medical students receive much of their inpatient teaching from residents who now experience restructured services to accommodate the 2011 duty-hour regulations (DHR). The effect DHR on medical student educational experiences is unknown. We examined students’ and clerkship directors’ perceptions effects internal medicine with teaching, feedback evaluation, patient care. Approach: Students at 14 institutions responded surveys after or subinternship. completed (n = 839)...
This study aimed to assess how internal medicine residents incorporated prognosis inform clinical decisions and communicated in primary care visits with older patients multimorbidity after an educational intervention, resident patient perspectives regarding these visits. Assessment used mixed-methods. The authors assessed the frequency content of discussions through residents' self-report qualitative analysis audio-recorded clinic perceived effect incorporating on relationship a survey....
Abstract Background With almost 20% unnecessary spending on healthcare, there has been increasing interest in high value care defined as the best for patient, with optimal result circumstances, delivered at right price. The American Association of Medical Colleges recommend that medical students are proficient concepts cost-effective clinical practice by graduation, thus leading to curricula care. However little is published effectiveness these students’ ability Methods In addition standard...