Article
Education, Scientific Disciplines
Jung G. Kim, Hector P. Rodriguez, Stephen M. Shortell, Bruce Fuller, Eric S. Holmboe, Diane R. Rittenhouse
Summary: Despite the importance of ambulatory care training in primary care residency programs, the study found that the percentage of time spent in ambulatory care by PGY-1 residents varies due to factors such as program size, funding sources, and patient populations. Larger ACGME-accredited family medicine and internal medicine programs, as well as those receiving federal THC GME funding, had more PGY-1 time spent in ambulatory care settings.
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
Health Care Sciences & Services
Christopher J. Wong, Julia B. Nath, Amber T. Pincavage, Amber Bird, Julie L. Oyler, Katherine Gill, Karen Kimel-Scott, Eric Palecek, Maryann K. Overland
Summary: IM interns generally lack training or clinical experience in telehealth, although they have positive attitudes towards video and phone visits. The majority of interns believe video visits may be more effective than phone visits, and the COVID-19 pandemic has impacted their clinical preparedness. While most interns feel prepared for primary care, only a small percentage feel prepared to deliver primary care using video or phone visits. Residency programs may need to address these training gaps.
TELEMEDICINE AND E-HEALTH
(2022)
Article
Medicine, General & Internal
Syed Ahsan Ali, Qamar Riaz, Zain Muhammad Mushtaq, Safia Awan, Muhammad Tariq
Summary: The study observed consistently lower performance of senior residents compared to junior residents in monthly and yearly examinations. Surprisingly, there were variations in performance at different times, suggesting the need for further investigation into the reasons behind the relative underperformance of senior residents in the residency programme.
POSTGRADUATE MEDICAL JOURNAL
(2022)
Article
Medicine, General & Internal
Manasa S. Ayyala, Rebeca Rios, Scott M. Wright
Summary: This study examined gender differences in experienced types of bullying and resulting personal consequences among internal medicine residents. The study found that female and male residents experienced bullying at similar rates, but there were differences in the types of bullying experienced and the resulting consequences. Female residents were more likely to experience verbal and sexual bullying, while male residents were more likely to experience physical and other types of bullying. Female residents were also more likely to report negative personal consequences, with the most common consequence being feeling burned out.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Article
Psychology, Multidisciplinary
Jose Maria De La Roca-chiapas, Carlos Francisco Grajeda Gutierrez, Valeria Judith Iniguez Venegas, Martha Alicia Hernandez Gonzalez, Veronica Reyes Perez
Summary: This study aimed to investigate the prevalence of depression symptoms and suicide risk among internal medicine fellows in a specialist medical hospital in Mexico before and after COVID-19. The findings showed that caring for COVID-19 patients contributed to an increase in depression symptoms and suicidal ideation, as well as differences in cortisol and cholesterol levels among resident physicians.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Health Care Sciences & Services
Tyler J. Albert, Jeff Redinger, Helene Starks, Joel Bradley, Craig G. Gunderson, Dan Heppe, Kyle Kent, Michael Krug, Brian Kwan, James Laudate, Amanda Pensiero, Gina Raymond, Emily Sladek, Joseph R. Sweigart, Paul B. Cornia
Summary: Residents highly value and frequently attend morning reports as an educational conference. They prioritize high-quality cases emphasizing clinical reasoning, diagnosis, and management.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Education & Educational Research
Mostafa Dehghani Poudeh, Aeen Mohammadi, Rita Mojtahedzadeh, Nikoo Yamani
Summary: The study developed and customized EPAs for Iranian Internal Medicine Residency Programs by collecting expert opinions, refining the list in a focus group, determining the entrustability level of each residency year, and establishing the EPA-competency cross-tab through validation. A total of twenty-eight EPAs were developed to cover a wide range of competencies, some suitable for higher levels of residency and some expected to be performed independently even from the first year.
BMC MEDICAL EDUCATION
(2021)
Article
Multidisciplinary Sciences
Chia-Yu Chiu, Amara Sarwal, Muzamil Jawed, Venkata Sireesha Chemarthi, Nehad Shabarek
Summary: The COVID-19 pandemic presented challenges for public health and medical education, leading to the involvement of residents in telemedicine. However, a survey showed that residents feel less confident in managing chronic diseases through telemedicine visits, with a majority preferring in-person visits.
Article
Education & Educational Research
Joel Bradley, David Styren, Abigail LaPlante, John Howe, Sienna R. Craig, Emily Cohen
Summary: Healing Through History (HTH) is a social medicine consultation curriculum that integrates social determinants of health narrative into clinical care for complex patients. The program offers a model for teaching co-production in complex clinical care, while fostering meaning in work for residents. Integration of this curriculum throughout training may further enhance impact and aid in developing clinical skills.
BMC MEDICAL EDUCATION
(2021)
Article
Health Care Sciences & Services
Tyler J. Albert, Joel Bradley, Helene Starks, Jeff Redinger, Cherinne Arundel, Albertine Beard, Laura Caputo, Jonathan Chun, Craig G. Gunderson, Dan Heppe, Anand Jagannath, Kyle Kent, Michael Krug, James Laudate, Vignesh Palaniappan, Amanda Pensiero, Zaven Sargsyan, Emily Sladek, Matthew Tuck, Paul B. Cornia
Summary: The survey showed that during the COVID-19 pandemic, virtual morning report was seen as a valuable alternative to traditional in-person sessions by most residents. The majority of respondents supported integrating a virtual platform into the delivery of morning report in the future.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Letter
Medicine, General & Internal
Neha Paralkar, Nancy LaVine, Saoirse Ryan, Rosemarie Conigliaro, Jason Ehrlich, Aisha Khan, Lauren Block
Summary: This survey study examines the career choices of internal medicine residents from 2019 to 2021 and compares them with findings from a decade earlier.
JAMA INTERNAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Rashmi Advani, Marta Arjonilla, Arcelia Guerson, Erin Taub, Farah Monzur
Summary: This study identified gender-specific barriers for female internal medicine residents in pursuing gastroenterology. Concerns about fertility, radiation exposure, and maternity leave were found to be higher among female residents. Lack of gender diversity and female mentors in the field were also noted as barriers. Addressing these issues could help increase female representation in gastroenterology.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Medicine, General & Internal
David J. Savage, Omar Gutierrez, Bryce Edward Montane, Achintya Dinesh Singh, Eric Yudelevich, Jamal Mahar, Andrei Brateanu, Lakshmi Khatri, Catherine Fleisher, Stacey E. Jolly
Summary: Before the COVID-19 pandemic, telemedicine training was not widely incorporated into residency programmes. However, the Cleveland Clinic Internal Medicine Residency Programme successfully implemented an expedited telemedicine curriculum during the pandemic to train residents in providing virtual care. Their initiative, which included over 2000 virtual visits in 10 weeks, aimed to enhance the residents' skills and comfort level with this new form of healthcare delivery.
POSTGRADUATE MEDICAL JOURNAL
(2022)
Article
Geriatrics & Gerontology
Andrew Coyle, Sonica Bhatia, Amy Reyes Arnaldy, Katherine Wang, Elizabeth C. Lindenberger, Mary Fishman
Summary: The implementation of an ACP-specific clinical experience for internal medicine residents led to significant improvements in knowledge, self-assessed skills and behavior, and EMR documentation regarding ACP.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Emergency Medicine
Anish K. Agarwal, Kevin Mahoney, Amy L. Lanza, Elissa Klinger, David A. Asch, Nick Fausti, Christopher Tufts, Lyle Ungar, Raina M. Merchant
ANNALS OF EMERGENCY MEDICINE
(2019)
Article
Medicine, General & Internal
Jeremy M. Asch, David A. Asch, Elissa V. Klinger, Justine Marks, Norah Sadek, Raina M. Merchant
Article
Cardiac & Cardiovascular Systems
Shivan J. Mehta, Kevin G. Volpp, David A. Asch, Lee R. Goldberg, Louise B. Russell, Laurie A. Norton, Lauren G. Iannotte, Andrea B. Troxel
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
(2019)
Article
Mathematical & Computational Biology
Colman H. Humphrey, Dylan S. Small, Shane T. Jensen, Kevin G. Volpp, David A. Asch, Jingsan Zhu, Andrea B. Troxel
STATISTICS IN MEDICINE
(2019)
Letter
Emergency Medicine
Austin S. Kilaru, Kathleen Lee, Christopher K. Snider, Zachary F. Meisel, David A. Asch, Nandita Mitra, M. Kit Delgado
ACADEMIC EMERGENCY MEDICINE
(2020)
Article
Health Care Sciences & Services
David Grande, Xochitl Luna Marti, Raina M. Merchant, David A. Asch, Abby Dolan, Meghana Sharma, Carolyn C. Cannuscio
Summary: This study aimed to investigate US consumers' awareness of health applications of their digital data and concerns around digital health privacy. Results indicated that participants had limited understanding of the health information their digital data could reveal and current data collection practices. They expressed a desire for privacy protection and saw benefits in using digital data to improve health, but wanted restrictions on health programs' use of consumer digital data.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Medicine, General & Internal
M. Kit Delgado, Anna U. Morgan, David A. Asch, Ruiying Xiong, Austin S. Kilaru, Kathleen C. Lee, David Do, Ari B. Friedman, Zachary F. Meisel, Christopher K. Snider, Doreen Lam, Andrew Parambath, Christian Wood, Chidinma M. Wilson, Michael Perez, Deena L. Chisholm, Sheila Kelly, Christina J. O'Malley, Nancy Mannion, Ann Marie Huffenberger, Susan McGinley, Mohan Balachandran, Neda Khan, Nandita Mitra, Krisda H. Chaiyachati
Summary: The study found that COVID-19 patients enrolled in the COVID Watch service had lower mortality rates at 30 and 60 days, which may be attributed to more frequent telemedicine encounters and earlier presentation to the emergency department.
ANNALS OF INTERNAL MEDICINE
(2022)
Editorial Material
Medicine, General & Internal
Justin A. Grischkan, David A. Asch
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Rui Duan, Jiayi Tong, Alex J. Sutton, David A. Asch, Haitao Chu, Christopher H. Schmid, Yong Chen
Summary: This study proposes a new type of radar chart called origami plot, which maintains the original functionality of a radar chart while avoiding potential misuse of its connected regions and adds new features to better assist multicriteria decision-making. The plot can be achieved by adding additional auxiliary axes and points, ensuring that the connected region area of all dots remains invariant to the ordering of axes. It enables ranking different individuals by overall performance and maintains the intuitive visual appeal of the radar chart. The potential applications of origami plot in healthcare are demonstrated using hospital performance data.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2023)
Article
Health Care Sciences & Services
Cecilia Livesey, Kelley Kugler, Jack J. Huang, Eleanor Burton, Avanti Rangnekar, Grace Vojta, Maria A. Oquendo, Lisa Bellini, David A. Asch
Summary: Two-thirds of health professionals responding to the Covid-19 pandemic experience psychiatric symptoms, and COBALT, a digital mental health platform, provides necessary support for healthcare workers.
HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
(2022)
Article
Health Care Sciences & Services
Emily K. Seltzer, Sharath Chandra Guntuku, Amy L. Lanza, Christopher Tufts, Sindhu K. Srinivas, Elissa Klinger, David A. Asch, Nick Fausti, Lyle H. Ungar, Raina M. Merchant
Summary: The study analyzed Yelp reviews of US hospitals to gain insights into the labor and delivery experience. The analysis identified themes strongly associated with positive ratings, such as top-notch care, comforting staff, and modern facilities. On the other hand, themes correlated with negative ratings included complaints to management, lack of patient agency, and issues with discharging from the hospital. These findings highlight the importance of online reviews in understanding patient satisfaction and improving obstetrical care.
JMIR FORMATIVE RESEARCH
(2022)
Article
Health Care Sciences & Services
David A. Asch, Lisa M. Bellini, Sanjay V. Desai, Deirdre Darragh, Elizabeth L. Asch, Judy A. Shea
Summary: Through an innovation tournament, we successfully engaged program directors, residents, and associate program directors from 474 internal medicine residency programs in the United States to submit and rate ideas for improving residency training. The winning ideas focused on reducing work burden and improving mental health, sleep, and the overall operation of residency programs. The results of this tournament provided actionable suggestions for improving residency training.
HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
(2022)
Article
Health Care Sciences & Services
David A. Asch, Steven Joffe, Barbara E. Bierer, Sarah M. Greene, Tracy A. Lieu, Jodyn E. Platt, Danielle Whicher, Mahnoor Ahmed, Richard Platt
HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
(2020)
Article
Public, Environmental & Occupational Health
Tianyu Liu, Kevin G. Volpp, David A. Asch, Jingsan Zhu, Wenli Wang, Ruoming Wu, Andrea B. Troxel, Darra D. Finnerty, Karen Hoffer, Judy A. Shea
PREVENTIVE MEDICINE REPORTS
(2019)