A5006686910- Innovations in Medical Education
- Emergency and Acute Care Studies
- Patient Safety and Medication Errors
- Healthcare Systems and Technology
- Trauma and Emergency Care Studies
- Injury Epidemiology and Prevention
- Hospital Admissions and Outcomes
- Cardiac Arrest and Resuscitation
- Diversity and Career in Medicine
- Trauma Management and Diagnosis
- Patient-Provider Communication in Healthcare
- Healthcare professionals’ stress and burnout
- Clinical Reasoning and Diagnostic Skills
- Healthcare cost, quality, practices
- Traumatic Brain Injury and Neurovascular Disturbances
- Medical Malpractice and Liability Issues
- Ectopic Pregnancy Diagnosis and Management
- Sepsis Diagnosis and Treatment
- Electronic Health Records Systems
- Amoebic Infections and Treatments
- Ovarian cancer diagnosis and treatment
- Pregnancy-related medical research
- Interprofessional Education and Collaboration
- Neurological Complications and Syndromes
- Drug-Induced Adverse Reactions
Society of General Internal Medicine
2025
Beth Israel Deaconess Medical Center
2015-2024
Harvard University
2007-2022
Atkins (United States)
2022
Providence Regional Medical Center Everett
2021
Washington State University
2021
University of Chicago
2016
Committee on Publication Ethics
2016
Valleywise Health
2016
Emory University
2016
Issue: Life-long learning is a skill that central to competent health professionals, and medical educators have sought understand how adult professionals learn, adapt new information, independently seek learn more. Accrediting bodies now mandate training programs teach in ways promote self-directed (SDL) but do not provide adequate guidance on address this requirement. Evidence: The model for the SDL physician based mostly early childhood secondary education evidence literature, may capture...
Abstract Purpose This study examines the effect of coaching on errors and burnout graduate medical education trainees mechanisms this effect. Method In explanatory, sequential, mixed-methods randomized controlled trial at a large, urban academic center, faculty were to with mentorship or alone from September 2021 December 2022. Trainees (coachees) paired coaches different specialties, who trained in novel curriculum. Burnout was measured Stanford Professional Fulfillment Index subscales...
Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from that do not name a resident.The objective was to compare case characteristics in where is involved (resident case) involve (nonresident and determine factors contribute utilizing EM as model for claims across other medical specialties.We used data the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) analyze open closed asserted 2009...
Despite the high impact of lapses in communication skills on patient care, these are often not explicitly taught residency training programs. We implemented a simulation and web-based curriculum for anesthesia residents used survey adapted from Four Habits Coding Scheme to detect changes feedback residents’ after curricular intervention. Postintervention mean ratings overall were higher than preintervention ratings. Future research will focus assessing curriculum’s effectiveness exploring...
Healthcare costs have spiraled out of control, yet students and residents may lack the knowledge skills to provide high value care, which emphasizes best possible care while reducing unnecessary costs.Mainly national campaigns are aimed at physicians reconsider their test ordering behaviors, identify overused diagnostics, disseminate innovative practices. These efforts will fall short if principles not incorporated across spectrum training for next generation physicians.Consensus findings an...
Introduction: In an age of increasing scrutiny each hospital admission, emergency department (ED) observation has been identified as a low-cost alternative. Prior studies have shown admission rates for syncope in the United States to be high 70%. However, safety and utility substituting ED unit (EDOU) management not well studied. The objective this study was evaluate EDOU patients presenting with its efficacy reducing admissions.Methods: This prospective before-and-after cohort consecutive...
Introduction: Patient handoffs from emergency physicians (EP) to internal medicine (IM) may be complicated by conflict with the potential for adverse outcomes. The objective of this study was identify specific types of, and contributors to, between EPs IM in context. Methods: We performed a qualitative focus group using constructivist grounded theory approach involving (EM) residents faculty at large academic medical center. Focus groups assessed perspectives experiences EP/IM physician...
Physician burnout has severe consequences on clinician well-being. Residents face numerous work-stressors that can contribute to burnout; however, given specialty variation in work-stress, it is difficult identify systemic stressors and implement effective interventions an institutional level. Assessing resident preferences by for common wellness could also improved efficacy.This cross-sectional study used best-worst scaling (BWS), a type of discrete choice modelling, explore how 267...
The primary objective was to determine the prevalence of domestic violence (DV) in a subset women presenting Boston emergency medical services (EMS) system and evaluate documentation. A secondary rate refusal transport hospital for DV-positive patients, compared with general population.A retrospective chart review ambulance run sheets from nonconsecutive, convenience sample between July December 1995 performed. Women injury, obstetric/ gynecologic complaints, or psychiatric complaints were...
Routine follow-up head imaging in complicated mild traumatic brain injury (cmTBI) patients has not been shown to alter treatment, improve outcomes, or identify need of neurosurgical intervention. We developed a computed tomography (CT) triage algorithm for cmTBI decrease the number routine CT scans obtained this population.
Objectives. The prevalence and necessity for early detection sion problems illustrate the need improved methods of vision screening in preschool children. This study assessed validity reliability a new device, MTI Photoscreener cross-sectional field study. Methods. An appropriate sample size (>140) was calculated recruited All children (N = 161) migrant workers summer education program were screened with Photoscreener. Simultaneously masked design, disease status determined by odified Clinic...
The cost of graduate medical education in the United States is subsidized by federal government through direct and indirect Medicare payments. These payments are intended to cover portion resident salaries, teaching expenses, hospital costs associated with academic mission attributable care beneficiaries, using a complex allocation formula. However, there other program expenses that not reimbursed still significantly affect competitiveness quality educational programs. Although most...
Abstract Introduction The medical education literature shows that residents spend at least 25% of their time teaching, enjoy consider it important, and agree teaching improves ...