Article
Health Care Sciences & Services
Blair P. Golden, Sean Tackett, Kimiyoshi Kobayashi, Terry Nelson, Alison Agrawal, Nicole Pritchett, Kaley Tilton, Geron Mills, Ting-Jia Lorigiano, Meron Hirpa, Jessica Lin, Sarah Disney, Matt Lautzenheiser, Shanshan Huang, Stephen A. Berry
Summary: This study examined the frequency of sitting by internal medicine residents during inpatient encounters and its association with patients' perceptions of other physician communication behaviors. The results showed that patients perceived that residents sit infrequently, but sitting was correlated with other positive communication behaviors.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Medicine, General & Internal
Yazan Daaboul, Amy Lin, Kelly Vitale, Laura K. Snydman
Summary: CETs are only offered in 24% of internal medicine residency programs in the USA. The curricula of these programs vary, and they face logistical and financial challenges.
POSTGRADUATE MEDICAL JOURNAL
(2021)
Article
Education, Scientific Disciplines
Victor Soukoulis, James Martindale, Megan J. Bray, Elizabeth Bradley, Maryellen E. Gusic
Summary: This study found a significant correlation between medical students' supervision ratings in EPA assessments and their clinical performance evaluations and CPX scores, supporting the use of supervision ratings in decisions about students' curricular progression.
Article
Health Care Sciences & Services
Kantha Medepalli, Stefanie Purdon, Rebecca M. Bade, M. K. Glassberg, Ellen L. Burnham, Hayley B. Gershengorn
Summary: Women are underrepresented in leadership positions in academic internal medicine, and having women leaders is not independently associated with having more women trainees.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Medicine, General & Internal
Lewis W. Paton, I. C. McManus, Kevin Yet Fong Cheung, Daniel Thomas Smith, Paul A. Tiffin
Summary: This study aims to determine whether scores on two undergraduate admissions tests, BMAT and UCAT, can predict performance on the postgraduate MRCP examination. The results showed that some subtest scores of BMAT and UCAT had incremental predictive validity for the first two parts of the MRCP. Only aptitude and skills on BMAT and verbal reasoning on UCAT predicted passing PACES at the first attempt. These findings suggest that the abilities assessed by aptitude and skills and verbal reasoning may be crucial cognitive attributes for predicting future clinical performance.
Article
Psychology, Developmental
Allison Liu, Jay Patel, Jessica I. Gold, Nabil Abou Baker, Rita Rossi Foulkes
Summary: This study examines the influence of Internal Medicine-Pediatrics programs and institutional health care transition (HCT) champions on trainee HCT knowledge, atti-tudes, and practices. The results show that trainees with an institutional Med-Peds program are more likely to identify an institutional HCT champion, resulting in higher knowledge scores and use of standardized HCT tools. Trainees without an institutional Med-Peds program experience more barriers to HCT education.
JOURNAL OF ADOLESCENT HEALTH
(2023)
Article
Medicine, General & Internal
Jennifer W. Mack, Lauren Fisher, Larry Kushi, Chun R. Chao, Brenda Vega, Gilda Rodrigues, Isabel Josephs, Katharine E. Brock, Susan Buchanan, Mallory Casperson, Robert M. Cooper, Karen M. Fasciano, Tatjana Kolevska, Joshua R. Lakin, Anna Lefebvre, Corey M. Schwartz, Dov M. Shalman, Catherine B. Wall, Lori Wiener, Andrea Altschuler
Summary: This qualitative study identified 7 distinct end-of-life priority domains for adolescents and young adults with cancer, including attention to physical symptoms, quality of life, psychosocial and spiritual care, communication and decision-making, relationships with clinicians, care and treatment, and independence. Some domains were unique or had distinct manifestations for this young population, suggesting the need for new indicators to better reflect patient-centered experiences.
Article
Pharmacology & Pharmacy
Michelle Liu, Cindy L. Vnencak-Jones, Bartholomew P. Roland, Cheryl L. Gatto, Janos L. Mathe, Shari L. Just, Josh F. Peterson, Sara L. Van Driest, Asli O. Weitkamp
Summary: This article discusses the implementation of pharmacogenomic testing at Vanderbilt University Medical Center in 2010, highlighting the importance of automated clinical decision support in delivering PGx results to point-of-care. It emphasizes the role of knowledge base management in processing new results and ensuring the reinterpretation of historical genomic results.
CLINICAL PHARMACOLOGY & THERAPEUTICS
(2021)
Review
Obstetrics & Gynecology
Anne Sullivan, Christy L. Cummings
Summary: Decision-making at extreme prematurity presents challenges and distress for parents and clinicians. Clinicians need to learn necessary skills for counseling and decision-making in these situations. Educational strategies that incorporate adult learning theory, multidisciplinary team simulation, and critical reflection show promising results in optimizing antenatal counseling and shared decision-making for families facing extreme prematurity.
SEMINARS IN PERINATOLOGY
(2022)
Article
Psychology, Clinical
Christine Wolfer, Andreea Visla, Judith Held, Peter Hilpert, Christoph Fluckiger
Summary: This study compared the performance of trainee therapists and psychology students in interpersonal skills assessments, finding that trainees outperformed students in interpersonal skills, with clinical experience and age having no influence on their performance. The good psychometric properties of both assessments were replicated.
CLINICAL PSYCHOLOGY & PSYCHOTHERAPY
(2021)
Article
Health Care Sciences & Services
Rui Yang Xu, Nilita Sood, Jeffrey Ding, Nadia Khan, Sabeen Tiwana, Javed Siddiqi, Ateeq Rehman, Namirah Jamshed, Faisal Khosa
Summary: This study evaluated the demographic trends of Internal Medicine (IM) faculty in the US, focusing on sex and race/ethnicity diversity. The findings revealed a predominance of White and male physicians in higher academic ranks, despite an increase in the representation of women and racial/ethnic minority IM faculty. The end of affirmative action threatens to perpetuate this trend, potentially impacting patient access and health outcomes.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Education & Educational Research
Tanner Chahley, Ada W. Lam, Samantha Halman, Kathryn Watson, Irene W. Y. Ma
Summary: The study found that Canadian internal medicine residents have high demand for point-of-care ultrasound (POCUS) skills, with a perceived high applicability but low actual skills in POCUS. The 2019 residents reported higher skills in assessing pulmonary B lines compared to the 2016 cohort.
BMC MEDICAL EDUCATION
(2021)
Article
Education, Scientific Disciplines
Adele Orovec, Alex Bishop, Stephanie A. Scott, Dave Wilson, C. Glen Richardson, William Oxner, R. Andrew Glennie
Summary: This study aims to validate a surgical objective structured clinical examination (S-OSCE) for competency assessment based on the Royal College of Canada's Can-MEDS framework. The results show that the S-OSCE scores correlate strongly with other validated forms of assessment. Although the overall simulation is highly ranked, the fidelity of the cadaveric simulation may need improvement.
JOURNAL OF SURGICAL EDUCATION
(2022)
Article
Health Care Sciences & Services
Parisa Moll-Khosrawi, Wolfgang Hampe, Leonie Schulte-Uentrop, Christian Zoellner, Stefan Zimmermann, Thorben Huelmann
Summary: Non-technical skills (NTS) play a crucial role in ensuring patient safety in medical care. Focusing on assessing applicants' NTS during medical school admission may be a promising approach to ensure that future physicians possess high-level NTS. This study investigated the predictive validity of various selection tests and admission criteria for NTS performance in clinical emergency medicine training among medical students.
Article
Education & Educational Research
Kyle DeMeo Cook, Stacy Ehrlich Loewe, Sarah Kabourek, John Francis, Andrew Schaper, Dana Thomson, Tamara Halle, Kristie Kauerz
Summary: Research shows that transition activities provided by elementary schools have positive effects on children's outcomes. However, children from low-income households have less access to these activities compared to children from higher-income households. This research highlights the need to develop policies and practices that ensure transition supports are available to children from low-income families.
EARLY EDUCATION AND DEVELOPMENT
(2023)
Editorial Material
Critical Care Medicine
J. Randall Curtis, Mitchell M. Levy
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2022)
Editorial Material
Critical Care Medicine
Elizabeth Dzeng, Thomas Bein, J. Randall Curtis
INTENSIVE CARE MEDICINE
(2022)
Editorial Material
Critical Care Medicine
J. Randall Curtis
INTENSIVE CARE MEDICINE
(2022)
Article
Health Care Sciences & Services
Crystal E. Brown, J. Randall Curtis, Kemi M. Doll
Summary: Racial inequities in palliative and end-of-life care have been well-documented but often overlooked due to a lack of consideration for the effects of race and everyday racism. Public Health Critical Race Praxis provides a new approach for researchers to address racial disparities by broadening research priorities and developing race-conscious interventions.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Health Care Sciences & Services
Alison M. Uyeda, J. Randall Curtis, Ruth A. Engelberg, Lyndia C. Brumback, Yue Guo, James Sibley, William B. Lober, Trevor Cohen, Janaki Torrence, Joanna Heywood, Sudiptho R. Paul, Erin K. Kross, Robert Y. Lee
Summary: This study compares three natural language processing (NLP) modeling approaches for identifying documentation of goals-of-care discussions in electronic health records (EHR). The results show that NLP holds promise for identifying EHR-documented goals-of-care discussions, although the rarity of such content limits the performance. The study also identifies opportunities to optimize NLP modeling approaches.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Biology
Jack Wadden, Brandon S. Newell, Joshua Bugbee, Vishal John, Amy K. Bruzek, Robert P. Dickson, Carl Koschmann, David Blaauw, Satish Narayanasamy, Reetuparna Das
Summary: This study presents a proof-of-principle approach for targeted variant detection in less than 1 hour using real-time DNA sequencers. By modifying existing protocols and optimizing diagnostic time-to-result, the researchers were able to confirm a hot-spot mutation in tumor tissue in about 52 minutes. They also explored rapid, targeted Loop-mediated Isothermal Amplification (LAMP) and developed a bioinformatics tool called LAMPrey to process the sequenced LAMP product. Using LAMPrey, they demonstrated confirmation of a hot-spot mutation from tumor tissue in less than 30 minutes.
COMMUNICATIONS BIOLOGY
(2022)
Letter
Critical Care Medicine
Valeria S. M. Valbuena, Ryan P. Barbaro, Dru Claar, Thomas S. Valley, Robert P. Dickson, Steven E. Gay, Michael W. Sjoding, Theodore J. Iwashyna, Ann Arbor
Editorial Material
Critical Care Medicine
Callie M. Drohan, Philip L. Molyneaux, Robert P. Dickson
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2023)
Article
Health Care Sciences & Services
Crystal E. Brown, Jill M. Steiner, Peter J. Leary, J. Randall Curtis, Ruth A. Engelberg
Summary: This study assessed physicians' perspectives on barriers and facilitators to the use of palliative care in pulmonary arterial hypertension (PAH) patients. The results showed that PAH physicians are willing to implement a tailored approach to individual patients and collaborate effectively with palliative care clinicians. However, there are still limitations posed by health systems.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Letter
Critical Care Medicine
Reid McCallister, Mark Nuppnau, Michael W. Sjoding, Robert P. Dickson, Rishi Chanderraj
Editorial Material
Respiratory System
Kale S. Bongers, Kathleen A. Stringer, Robert P. Dickson
EUROPEAN RESPIRATORY JOURNAL
(2023)
Article
Respiratory System
Carmen Mikacenic, Lynn A. Fussner, Jasmine Bell, Ellen L. Burnham, Linda L. Chlan, Sarah K. Cook, Robert P. Dickson, Francis Almonor, Fengming Luo, Karan Madan, Luisa Morales-Nebreda, Kara J. Mould, A. John Simpson, Benjamin D. Singer, Renee D. Stapleton, Chris H. Wendt, D. Clark Files
Summary: Bronchoscopy for research purposes is a valuable tool to understand lung-specific biology in humans. This study provides recommendations for patient selection, hospital staff protection, sample procurement, and sample preparation. The committee concludes that research bronchoscopy is valuable and safe in appropriately selected patients.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2023)
Article
Critical Care Medicine
Elizabeth M. Viglianti, Andrew J. Admon, Erin F. Carlton, Scott J. Denstaedt, Thomas S. Valley, Deena K. Costa, Colin R. Cooke, Robert Dickson, Theodore J. Iwashyna, Hallie C. Prescott
Summary: This article describes a model for early-career peer mentorship and its impact on the retention of early-career clinician-scientists in academic medicine. The model, called MICReW, focuses on creating an environment that fosters diverse opinions, constructive feedback, and camaraderie, resulting in a sustainable and adaptable peer mentoring relationship. The majority of MICReW members remain in academic positions and have benefited significantly from their participation.
Article
Respiratory System
Sanjeev Tyagi, Christopher A. Brown, Robert P. Dickson, Michael W. Sjoding
Summary: High arterial oxygen exposure is associated with mortality in mechanically ventilated patients, and severe hyperoxemia is more common in clinical practice than in randomized trials. Efforts to minimize this injurious exposure are needed.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2022)
Article
Respiratory System
Sarah J. Hochendoner, Timothy H. Amass, J. Randall Curtis, Pamela Witt, Xingran Weng, Olubukola Toyobo, Daniella Lipnick, Priscilla Armstrong, Margaret Hope Cruse, Olivia Rea, Lauren J. Van Scoy
Summary: ICU visitation restrictions during the COVID-19 pandemic have caused psychological harm to family members of critically ill patients. Investment in communication infrastructure and following family-derived recommendations are needed to improve communication.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2022)
