Abstract：
:Physical examination (PE) is a core clinical competency, and the internal medicine clerkship is a premiere venue for students to develop PE skills. However, clinical rotations often lack opportunities for real-time instruction. We sought to measure the frequency, content, and factors affecting PE instruction during the internal medicine clerkship. We conducted a prospective mixed-methods study at a single academic center. Data were gathered by a student researcher who directly observed inpatient teams over 3 months. We quantified the frequency of PE teaching activities and analyzed daily written observations using qualitative content analysis. PE was most frequently discussed during bedside rounds and least often during workroom rounds. Direct observation of students' examinations rarely occurred. Multiple factors in the learning environment were posited to affect PE instruction. In brief, we found that residents and attending physicians who are part of internal medicine teaching services do not routinely emphasize PE instruction.
journal_name
J Hosp Medjournal_title
Journal of hospital medicineauthors
Bergl PA,Taylor AC,Klumb J,Quirk K,Muntz MD,Fletcher KEdoi
10.12788/jhm.2972subject
Has Abstractpub_date
2018-06-01 00:00:00pages
399-402issue
6eissn
1553-5592issn
1553-5606journal_volume
13pub_type
杂志文章abstract：BACKGROUND:Health care-associated infections and antimicrobial resistance threaten the safety of hospitalized patients. New prevention strategies are necessary to address these problems. In response, the Society of Hospital Medicine (SHM) in collaboration with the Centers for Disease Control and Prevention developed an...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.223
更新日期：2007-07-01 00:00:00
abstract：BACKGROUND:Patients with suspected thiamine deficiency should receive treatment with parenteral thiamine to achieve the high serum thiamine levels necessary to reverse the effects of deficiency and to circumvent problems with absorption common in the medically ill. OBJECTIVE:To quantify rates of parenteral administrat...
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pub_type： 杂志文章,多中心研究
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abstract：BACKGROUND:No national policy requires health care providers to discuss with hospitalized patients whether the latter would want cardiopulmonary resuscitation (CPR) or mechanical ventilation (MV) in the event of cardiopulmonary failure. OBJECTIVE:To determine whether hospitalized patients are willing to discuss end-of...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,随机对照试验
doi：10.1002/jhm.78
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:A lack of cost-conscious medication use is a major contributor to excessive healthcare expenditures in the inpatient setting. Expensive medicines are often utilized when there are comparable alternatives available at a lower cost. Increasing prescriber awareness of medication cost at the time of ordering may...
journal_title：Journal of hospital medicine
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更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:High-flow nasal cannula (HFNC) is increasingly used to treat children hospitalized with bronchiolitis; however, the best practices for feeding during HFNC and the impact of feeding on time to discharge and adverse events are unknown. The study objective was to assess whether feeding exposure during HFNC was ...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
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更新日期：2019-09-18 00:00:00
abstract：BACKGROUND:Hospitalized patients with diabetes have experienced a disproportionate reduction in mortality over the past decade. OBJECTIVE:To examine whether this differential decrease affected all patients with diabetes, and to identify explanatory factors. DESIGN:Serial, cross-sectional observational study. SETTING...
journal_title：Journal of hospital medicine
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更新日期：2015-04-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
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更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:Obese patients are thought to be at higher risk of postoperative medical complications. We determined whether body mass index (BMI) is associated with postoperative in-hospital noncardiac complications following urgent hip fracture repair. METHODS:We conducted a population-based study of Olmsted County, Min...
journal_title：Journal of hospital medicine
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更新日期：2009-10-01 00:00:00
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更新日期：2016-06-01 00:00:00
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pub_type： 杂志文章
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更新日期：2013-10-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
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更新日期：2015-04-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
doi：10.1002/jhm.654
更新日期：2010-05-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.12788/jhm.2878
更新日期：2018-01-01 00:00:00
abstract：:Value-based payment systems have been widely implemented in healthcare in an effort to improve the quality of care. However, these programs have not broadly improved quality, and some evidence suggests that they may increase inequities in care. No Child Left Behind is a parallel effort in education to address uneven a...
journal_title：Journal of hospital medicine
pub_type： 杂志文章
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更新日期：2016-01-01 00:00:00
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journal_title：Journal of hospital medicine
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doi：10.1002/jhm.2252
更新日期：2014-11-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.860
更新日期：2011-04-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章
doi：10.1002/jhm.2592
更新日期：2016-10-01 00:00:00
abstract：:Only 1 of 8 stroke patients is managed exclusively by a neurologist. Furthermore, many stroke patients harbor other vascular comorbidities and are also at risk for developing general medical complications that can lead to death following stroke. With the growing hospitalist system, it is quite clear that hospitalists ...
journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
doi：10.1002/jhm.147
更新日期：2007-01-01 00:00:00
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更新日期：2012-03-01 00:00:00
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更新日期：2008-11-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-03-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章
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更新日期：2019-04-01 00:00:00
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journal_title：Journal of hospital medicine
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更新日期：2008-05-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章
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更新日期：2019-06-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章
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更新日期：2017-10-01 00:00:00
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journal_title：Journal of hospital medicine
pub_type： 杂志文章,评审
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更新日期：2016-06-01 00:00:00
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