Purpose To determine whether medical students and faculty perceive differences in the effectiveness of interactions with real patients versus simulated (SPs) communication skills training. Method In 2008, authors recruited volunteer outpatients (VOs) from Johns Hopkins University School Medicine internal medicine practice to participate training for all first-year students. VOs SPs were assigned clinic rooms simulation center. Each group five its preceptor rotated through randomly on two...

Training residents to deliver care increasingly diverse patients in the United States is an important strategy help alleviate racial and ethnic disparities health outcomes. Cross-cultural training of continues present challenges. This study sought explore associations among residents' cross-cultural attitudes, preparedness, knowledge about better elucidate possible needs.

<h3>Importance</h3> The patient-physician clinical encounter is the cornerstone of medical training, yet residents spend as little 12% their time in direct patient contact. <h3>Objectives</h3> To use a real-time locating system (RTLS) to characterize intern work experiences hospital, understand factors associated with spent at patients' bedsides, and inform future interventions increase patients. <h3>Design, Setting, Participants</h3> This cross-sectional study was conducted from July 1,...

It is known that physician mothers' breastfeeding behavior impacts their anticipatory guidance to patients, which in turn influences patients' initiation and continuation. Therefore, studying important, as it not only the well-being of themselves families, but eventually patients families. However, previous studies among mothers United States have explored intentions. We therefore sought explore infant feeding intentions mothers.We report data gathered from 50 volunteers, mainly affiliated...

We reported previously that ovariectomy alters prepubertal development of mammary myoepithelial cells (MC) by mechanisms are not well understood. Therefore, in the present study, we analyzed expression 2 differentiation markers, α-smooth muscle actin (SMA) and common acute lymphoblastic leukemia antigen (CD10), parenchymal tissue from intact (INT) ovariectomized (OVX) heifers. On d 40, Holstein heifers underwent either an (OVX; n = 16) or a sham (INT; 21) operation. At 55, 70, 85, 100, 130,...

To determine perceptions of general internal medicine (GIM) division directors the importance and support for clinician-educators' (CEs') scholarship.In 2010, authors identified 127 accredited U.S. MD-granting medical schools with a GIM division, 144 directors, were able to survey 129 them. Directors asked rate specific CE scholarly accomplishments promotion from assistant associate professor, describe current research CEs, state how they would work CEs if had funding.Fifty-five (42.6%) 52...

Clinician Educators' (CEs) focus on patient care and teaching, yet many academic institutions require dissemination of scholarly work for advancement. This can be difficult CEs. Our division developed the Clinician–Educator Mentoring Scholarship Program (CEMSP) in an effort to assist CEs with scholarship, national reputation, recognition, promotion job satisfaction. The key components are salary-supported director co-director who coordinate program serve as overall mentors link senior...

This study sought to measure current attitudes toward hypnosis among anesthesia providers using an in-person survey distributed at a single grand rounds academic teaching hospital. One hundred twenty-six (anesthesiologists and nurse anesthetists) were included in this study. A 10-question Institutional Review Board (IRB)-approved questionnaire was developed. (73% of the meeting) completed survey. Of respondents, 54 (43%) anesthesiologists, 42 (33%) trainees (interns/residents/fellows)...

Maternal employment postpartum can have a powerful influence over infant-feeding behaviors. The objective of this cross-sectional online survey was to explore the intentions and behaviors convenience sample lawyer mothers. We compared our findings with those for physician mothers.Lawyers participated in an anonymous survey. To eliminate multiple births, only study subjects one child were reviewed inclusion analysis. used SPSS calculation descriptive statistics, Mann-Whitney test comparisons,...

Abstract Objective Hospitalized patients placed in isolation due to a carrier state or infection with resistant highly communicable organisms report higher rates of anxiety and loneliness have fewer physician encounters, room entries, vital sign records. We hypothesized that status might adversely impact patient experience as reported through Hospital Consumer Assessment Healthcare Providers Systems (HCAHPS) surveys, particularly regarding communication. Design Retrospective analysis HCAHPS...

BACKGROUND Hospital‐level studies have found an inverse relationship between patient experience and readmissions. However, based on typical survey response time, it is unclear if patients are able to respond surveys before they get readmitted whether being might be a driver of poor scores (reverse causation). OBJECTIVE Using patient‐level Hospital Consumer Assessment Healthcare Providers Systems (HCHAPS) Press Ganey data examine the readmissions distinguish who responded or after subsequent...

Abstract Objectives To describe clinician-educators (CEs) in new graduate medical education (GME) systems and characterize perception of preparedness, roles rewards, factors affecting job satisfaction retention. Methods A cross-sectional survey all CEs institutions using competency-based GME accredited by the Accreditation Council for Graduate Medical Education-International (ACGME-I). Results 274 359 eligible participants (76.3%) responded, representing 47 residency programs across 17...

<h3>Introduction</h3> The goal of this project was to develop and validate a new tool evaluate learners9 knowledge skills related research ethics. <h3>Methods</h3> A core set 50 questions from existing computer-based online teaching modules were identified, refined supplemented create 74 multiple-choice, true/false short answer questions. pilot-tested item discrimination calculated for each question. Poorly performing items eliminated or refined. Two comparable assessment tools created....

Abstract Lemierre's syndrome is the clinical presentation characterized by oropharyngeal or tonsillar infection, anaerobic septicaemia often with distant septic emboli, and radiological evidence of thrombosis internal jugular vein. We report a case in 44‐year‐old type II diabetic male. This unique for two reasons. Firstly, we believe it first reported iatrogenic following routine dental procedure. Secondly, vein was found to occur on contralateral side primary infection.

As part of a cultural competence needs assessment study at large academic health care system, we conducted survey among 1,220 practicing physicians to assess their perceptions the organization's climate and skills behaviors targeting patient-centered for culturally socially diverse patients. Less than half providers reported engaging in address social barriers more 75% time. In multivariable logistic regression models, who moderate or major structural problems were likely report low...

There is great interest in understanding how residents spend their time the hospital, but traditional and motion studies are resource intensive limited scale.We determined whether a real-time location system (RTLS) that uses infrared emitting badges can be used to track resident location.Residents rotating on an internal medicine service January 2018 were given option wear RTLS badge. data compared call schedule for each participating deidentified manner. Rules created identify work periods...

Background Early reports of increased thrombosis risk with SARS-CoV-2 infection led to changes in venous thromboembolism (VTE) management. Real-world data on the prevalence, efficacy and harms these informs best practices. Objective Define practice patterns clinical outcomes related VTE diagnosis, prevention, management hospitalized patients coronavirus disease-19 (COVID-19) using a multi-hospital US sample. Methods In this retrospective cross-sectional study 1121 admitted 33 hospitals,...

Online medical education curricula offer new tools to teach and evaluate learners. The effect on educational outcomes of using learner feedback guide curricular revision for online learning is unknown.In this study, qualitative analysis gathered from an curriculum was used identify themes feedback, changes the in response were tracked. Learner satisfaction knowledge gains then compared before after implementation feedback.37,755 learners 122 internal medicine residency training programs...