Whether attending physicians, residents, nurses, and medical students agree on what constitutes student abuse, its severity, or influencing factors is unknown.We surveyed 237 internal medicine students, nurses at 13 schools after viewing five vignettes depicting potentially abusive behaviors.The majority of each group felt the belittlement, ethnic insensitivity, sexual harassment scenarios represented abuse but that excluding a from participating in procedure did not. Only physicians...

Abstract Background: A systematized approach to descriptive evaluation of clinical performance using a vocabulary global descriptors in the setting formal and feedback sessions has been shown be reliable valid. The feasibility this method beyond institution at which it was developed not studied. Purpose: To determine acceptability implementing sessions, descriptors, third-year core clerkship. Methods: In 1997, University Utah internal medicine clerkship introduced an student discussed...

We developed two objective structured clinical examinations (OSCEs) to educate and evaluate trainees in the evaluation management of shoulder knee pain. Our was examine evidence for validity these OSCEs. A multidisciplinary team content experts checklists exam maneuvers criteria guide rater observations. Content proposed by faculty, supplemented literature review, finalized using a Delphi process. One faculty simulated patient, another rated examinee performance. Two independently portion...

Community-based outpatient clinics (CBOCs) have been established by the Department of Veterans Affairs (VA) to provide primary care services veterans living in remote and rural regions. The objective this study was evaluate cost effectiveness training providers perform knee injections CBOCs, thereby avoiding referring patient an urban medical center for injection rheumatology or orthopedic specialists.We developed a decision-analysis model compare costs outcomes between who are trained...

Musculoskeletal (MSK) problems are common, and a recent US Bone Joint Initiative calls for new models of education professional collaboration. Evidence feasibility acceptability innovative methods needed.We assessed if an experimental immersion interdisciplinary MSK curriculum would be acceptable to residents from different specialties, feasible within existing rotations, effective in strengthening clinical skills.Through funding the Veterans Affairs Office Academic Affiliations Specialty...

Grade inflation by clinical instructors is a constant concern for clerkship directors.1 Achieving evaluation of students' performances that credible, reliable, valid, and provides meaningful feedback to students central goal clerkships.2 However, most efforts address improving descriptive evaluations medical have focused on revisions existing forms, despite the well-recognized limitations commonly used numeric rating scales.3 Recently, University Utah School Medicine implemented revised...

Medical students' career choices affect health care. To understand how to increase the number of students who choose careers in internal medicine (IM), seriously considered IM but chose another field ("Switchers") and those rejected ("Never Considered") were compared with ("Choosers").Fourth-year medical from 11 U.S. institutions surveyed about demographics, school educational experiences, aspects specialty IM. Univariate analysis multivariate logistic regression models examined associations...

To characterize the responsibilities, activities, and scholarly productivity of internal medicine clerkship directors (CDs).In 1999, CDs from 122 U.S. medical schools one Canadian school were surveyed. The instrument asked about CDs' demo-graphics, workloads, characteristics, productivity.The response rate was 89%; 72% respondents men. Mean age 45 years, mean time as CD 6.5 58% had completed fellowship training. spent 28% their professional on clerkship, three half days weekly in clinic,...

A structured educational effort to train primary care providers (PCPs) perform joint injections has been projected be cost effective. The US Department of Veterans Affairs (VA) is developing a national continuing professional development program PCPs in the evaluation and management patients with common musculoskeletal conditions. objective this pilot project was confirm initial projections effectiveness inform further efforts develop on scale.The Salt Lake City VA served as hub for project....

Introduction. Accurate blood pressure (BP) measurement is essential to the diagnosis and management of hypertension in patients with systemic sclerosis (SSc) help prevent renal cardiovascular complications. The presence an auscultatory gap during manual BP measurement-the temporary disappearance Korotkoff sounds cuff deflation-leads a potentially important underestimate systolic if undetected. Objectives. Since frequently associated increased vascular stiffness, we investigated its...

Osteoporosis is inadequately treated in primary care settings. Under-recognition of the condition among male Veterans may contribute to this problem. In order improve understanding bone health older patients, we developed "Musculoskeletal (MSK) Education Week", a multidisciplinary clinical training initiative within ambulatory rotation for internal medicine (IM) residents at Salt Lake City VA Medical Center. The objective study was evaluate impact program on trainees' recognition...

Abstract Background: Changes in academic medicine have left clerkship directors (CDs) anxious about their career pathway, because administrative efforts may detract from other activities. Purpose: The Clerkship Directors Internal Medicine (CDIM) asked members benefits of being a CD or CDIM membership toward development. Methods: Responses were on 1-5 Likert scales with 5 (strongly agree). Background and demographic issues analyzed for associations the statements. Results: response rate was...

Objective Since 2014, rheumatology fellows have been assessed not only based on their ability to provide patient care and possession of medical knowledge but also skill in serving as advocates, navigators health systems, members a team. Such assessments carried out through the use competency‐based milestones from Accreditation Council Graduate Medical Education (ACGME). However, needs assessment has demonstrated interest more context validity subspecialty relevance since development ACGME...

Background: Musculoskeletal (MSK) problems are common, yet many primary care (PC) providers feel inadequately trained to manage these conditions. Previous studies describe successful MSK educational innovations at single sites, but none have reported on subsequent attempts replicate or adapt new contexts. This article presents a study of national Veterans Affairs training program modified fit an existing PC program.Objectives: (1) To evaluate the effectiveness and feasibility adapted...

The Rheumatology Research Foundation's Clinician Scholar Educator (CSE) award is a 3-year career development supporting medical education research while providing opportunities for mentorship and collaboration. Our objective was to document the individual institutional impact of since its inception, as well promise strengthen subspecialty rheumatology.All 60 CSE Award recipients were surveyed periodically. Fifty-six those awardees (90%) responded requests survey information that included...

The term integrative review has been used in different ways by knowledge synthesis scholars. Some have considered it broadly, as an overarching for various types of syntheses, including scoping, critical, and meta-narrative reviews. also applied more narrowly to describe a single, specific form synthesis. In this narrower framing, these empirical reviews communicate the analysis prior evidence-based studies offer comprehensive account phenomenon: they focus on integration data other research...

The purpose of a theoretical integrative review (TIR) is to critically examine theories that address particular phenomenon. A TIR brings 2 or more into conversation with each other reformulate, integrate, purposefully synthesize the conceptualizations and enhance understanding While may result in refinement revision an existing theory, it equally construction novel theory. Conducting requires interdisciplinary effort, since being examined can come from any academic tradition. Because TIRs...

Osteoarthritis is a major cause for pain worldwide and increasingly so as the number of elderly people continues to grow. Finding treatments that are effective safe this has been challenging primarily because gastrointestinal risks increase with aging well. One step in direction improvement was development selective COX-2 inhibitors, which group have lower adverse reaction rates than traditional non-steroidal anti-inflammatory drugs. However, increases cardiovascular events some these...