Chaperone use by residents during pelvic, breast, testicular, and rectal exams.

Abstract:

:We designed a questionnaire survey to study internal medicine residents' plans to use a chaperone during the pelvic, breast, rectal, and testicular examinations. We found chaperone use by male and female residents differed markedly, and neither group planned to use chaperones universally. When examining female patients, male residents overall were very likely to use a chaperone during a pelvic exam, but less likely for the breast exam and rectal exam. For the female resident, there was a significantly lower likelihood of using chaperones during the pelvic, breast, or rectal exams. There was a much lower rate of chaperone use during the sensitive portions of the male physical examination compared with the female examination, with somewhat higher use by female residents. We concluded that male and female residents differ significantly in their patterns of chaperone use. It would be valuable to develop guidelines for chaperone use to help residents understand the issues involved in the choices, and to protect the residents from the possible medico-legal consequences of forgoing chaperones.

journal_name

J Gen Intern Med

authors

Ehrenthal DB,Farber NJ,Collier VU,Aboff BM

doi

10.1046/j.1525-1497.2000.10006.x

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

573-6

issue

8

eissn

0884-8734

issn

1525-1497

pii

jgi10006

journal_volume

15

pub_type

杂志文章
  • The craft of writing: a physician-writer's workshop for resident physicians.

    abstract:INTRODUCTION:How can residency programs help trainees address conflicting emotions about their professional roles and cultivate a curiosity about their patients' lives beyond their diseases? We drew on the medical humanities to address these challenges by creating an intensive writing workshop for internal medicine res...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2006.00550.x

    authors: Reisman AB,Hansen H,Rastegar A

    更新日期:2006-10-01 00:00:00

  • "Mini-Residency" in Musculoskeletal Care: a National Continuing Professional Development Program for Primary Care Providers.

    abstract:INTRODUCTION:A cost-effective professional development program enhancing musculoskeletal (MSK) skills of physicians and allied health providers working in primary care settings has been reported at a single site. This article describes the first 2 years of the national expansion and implementation of a 3-day "MSK Mini-...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-016-3773-4

    authors: Battistone MJ,Barker AM,Grotzke MP,Beck JP,Lawrence P,Cannon GW

    更新日期:2016-11-01 00:00:00

  • Impact of Project ECHO Models of Medical Tele-Education: a Systematic Review.

    abstract:BACKGROUND:Extension for Community Healthcare Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improve...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-019-05291-1

    authors: McBain RK,Sousa JL,Rose AJ,Baxi SM,Faherty LJ,Taplin C,Chappel A,Fischer SH

    更新日期:2019-12-01 00:00:00

  • Models, strategies, and tools. Theory in implementing evidence-based findings into health care practice.

    abstract::This paper presents a case for careful consideration of theory in planning to implement evidence-based practices into clinical care. As described, theory should be tightly linked to strategic planning through careful choice or creation of an implementation framework. Strategies should be linked to specific interventio...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2006.00362.x

    authors: Sales A,Smith J,Curran G,Kochevar L

    更新日期:2006-02-01 00:00:00

  • Smoking cessation following admission to a coronary care unit.

    abstract:OBJECTIVE:To determine the impact of an episode of serious cardiovascular disease on smoking behavior and to identify factors associated with smoking cessation in this setting. DESIGN:Prospective observational study in which smokers admitted to a coronary care unit (CCU) were followed for one year after hospital disch...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02597426

    authors: Rigotti NA,Singer DE,Mulley AG Jr,Thibault GE

    更新日期:1991-07-01 00:00:00

  • Barriers and Facilitators to Real-world Implementation of the Diabetes Prevention Program in Large Healthcare Systems: Lifestyle Coach Perspectives.

    abstract:BACKGROUND:Group-based lifestyle change programs based on the Diabetes Prevention Program (DPP) are associated with clinically significant weight loss and decreases in cardiometabolic risk factors. However, these benefits depend on successful real-world implementation. Studies have examined implementation in community ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-05744-y

    authors: Halley MC,Petersen J,Nasrallah C,Szwerinski N,Romanelli R,Azar KMJ

    更新日期:2020-06-01 00:00:00

  • Training Primary Care Physicians to Employ Self-Efficacy-Enhancing Interviewing Techniques: Randomized Controlled Trial of a Standardized Patient Intervention.

    abstract:BACKGROUND:Primary care providers (PCPs) have few tools for enhancing patient self-efficacy, a key mediator of myriad health-influencing behaviors. OBJECTIVE:To examine whether brief standardized patient instructor (SPI)-delivered training increases PCPs' use of self-efficacy-enhancing interviewing techniques (SEE IT)...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s11606-016-3644-z

    authors: Jerant A,Kravitz RL,Tancredi D,Paterniti DA,White L,Baker-Nauman L,Evans-Dean D,Villarreal C,Ried L,Hudnut A,Franks P

    更新日期:2016-07-01 00:00:00

  • Elderly veterans receiving care at a Veterans Affairs Medical Center while enrolled in Medicare-financed HMOs. Is the taxpayer paying twice?

    abstract::Elderly veterans who visit our Veterans Affairs (VA) Medical Center primary care clinic often mention they are enrolled in HMOs. Approximately 20% of patients hospitalized at our facility report health insurance coverage. Of 1,000 hospitalizations during a 6-month period in which veterans reported insurance coverage, ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.1997.012004247.x

    authors: Passman LJ,Garcia RE,Campbell L,Winter E

    更新日期:1997-04-01 00:00:00

  • The patient centered medical home as curricular model: perceived impact of the "education-centered medical home".

    abstract:BACKGROUND:The patient-centered medical home (PCMH) model aims to provide patient-centered care, lower costs, and improve health outcomes. Medical students have not been meaningfully integrated in this model. AIM:To test the feasibility of a longitudinal clerkship based on PCMH principles and anchored by PCMH educatio...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-013-2389-1

    authors: Henschen BL,Garcia P,Jacobson B,Ryan ER,Woods DM,Wayne DB,Evans DB

    更新日期:2013-08-01 00:00:00

  • Latino access to the patient-centered medical home.

    abstract:BACKGROUND:Disparities can be caused by minorities receiving care in low-quality settings. The patient-centered medical home (PCMH) has been identified as a model of high-quality primary care that can eliminate disparities. However, Latinos are less likely to have PCMHs. OBJECTIVE:To identify Latino subgroup variation...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-009-1119-1

    authors: Beal A,Hernandez S,Doty M

    更新日期:2009-11-01 00:00:00

  • Measuring resident well-being: impostorism and burnout syndrome in residency.

    abstract:BACKGROUND:Assessing resident well-being is becoming increasingly important from a programmatic standpoint. Two measures that have been used to assess this are the Clance Impostor Scale (CIS) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). However, little is known about the relationship between the t...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-008-0536-x

    authors: Legassie J,Zibrowski EM,Goldszmidt MA

    更新日期:2008-07-01 00:00:00

  • Self-referral for screening mammography.

    abstract::Patients can obtain screening mammograms without a physician's referral, leading to potential problems in clinical care. Because of the complexity of self-referral and the limitations of prior studies, we examined this phenomenon in a representative sample of mammography facilities. A questionnaire was given to all wo...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1046/j.1525-1497.1998.00209.x

    authors: Suter LG,Elmore JG

    更新日期:1998-10-01 00:00:00

  • Systematic errors in medical decision making: judgment limitations.

    abstract::Much of medical practice involves the exercise of such basic cognitive tasks as estimating probabilities and synthesizing information. Scientists studying cognitive processes have identified impediments to accurate performance on these tasks. Together the impediments foster "cognitive bias." Five factors that can detr...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF02596149

    authors: Dawson NV,Arkes HR

    更新日期:1987-05-01 00:00:00

  • A Qualitative Study of Primary Care Providers' Experiences with the Veterans Choice Program.

    abstract:BACKGROUND:The Veterans Access, Choice and Accountability Act (hereafter, Choice Program) seeks to improve access to care by enabling eligible Veterans to receive care from community providers. Veterans Affairs (VA) primary care providers (PCPs) play a key role in making referrals to community specialists, but their fr...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-018-4810-2

    authors: Nevedal AL,Wagner TH,Ellerbe LS,Asch SM,Koenig CJ

    更新日期:2019-04-01 00:00:00

  • Evaluation of a women's safe shelter experience to teach internal medicine residents about intimate partner violence. A randomized controlled trial.

    abstract::Although intimate partner violence (IPV) remains a major public health problem, physicians often fail to screen female patients. Reported IPV training approaches suffer from weak study designs and limited outcome assessments. We hypothesized that an educational experience for residents at a women's safe shelter would ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1525-1497.2005.0100.x

    authors: Brienza RS,Whitman L,Ladouceur L,Green ML

    更新日期:2005-06-01 00:00:00

  • Patient expectations and satisfaction with medical care for upper respiratory infections.

    abstract::To describe the determinants of patient satisfaction with medical care, self-administered questionnaires were given to a consecutive sample of 237 patients coming to an ambulatory care practice for the treatment of upper respiratory infections (URIs). Patients' most important goal was to obtain a diagnosis (57%). They...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/BF02599162

    authors: Sanchez-Menegay C,Hudes ES,Cummings SR

    更新日期:1992-07-01 00:00:00

  • Advance Care Planning Prior to Death in Older Adults with Hip Fracture.

    abstract:BACKGROUND:Although hip fractures in older adults are associated with a high degree of mortality and disability, the use of advance care planning (ACP) in this population is unknown. OBJECTIVE:To determine the prevalence of ACP and need for surrogate decision-making prior to death in older adults with hip fracture and...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-020-05644-1

    authors: Kata A,Cenzer I,Sudore RL,Covinsky KE,Tang VL

    更新日期:2020-07-01 00:00:00

  • Insurance status, not race, is associated with mortality after an acute cardiovascular event in Maryland.

    abstract:BACKGROUND:It is unclear how lack of health insurance or otherwise being underinsured contributes to observed racial disparities in health outcomes related to cardiovascular disease. OBJECTIVE:To determine the relative risk of death associated with insurance and race after hospital admission for an acute cardiovascula...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-012-2147-9

    authors: Ng DK,Brotman DJ,Lau B,Young JH

    更新日期:2012-10-01 00:00:00

  • Management of adults with acute streptococcal pharyngitis: minimal value for backup strep testing and overuse of antibiotics.

    abstract:BACKGROUND:Rapid antigen detection tests (RADT) are commonly used to guide appropriate antibiotic treatment of group A beta-hemolytic streptococcal (GABHS) pharyngitis. In adults, there is controversy about the need for routine backup testing of negative RADT. OBJECTIVE:Estimate the costs and benefits in adults of rou...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-012-2245-8

    authors: Nakhoul GN,Hickner J

    更新日期:2013-06-01 00:00:00

  • Examining the evidence: a systematic review of the inclusion and analysis of older adults in randomized controlled trials.

    abstract:BACKGROUND:Due to a shortage of studies focusing on older adults, clinicians and policy makers frequently rely on clinical trials of the general population to provide supportive evidence for treating complex, older patients. OBJECTIVES:To examine the inclusion and analysis of complex, older adults in randomized contro...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s11606-010-1629-x

    authors: Zulman DM,Sussman JB,Chen X,Cigolle CT,Blaum CS,Hayward RA

    更新日期:2011-07-01 00:00:00

  • The Development and Evaluation of an Online Healthcare Toolkit for Autistic Adults and their Primary Care Providers.

    abstract:BACKGROUND:The healthcare system is ill-equipped to meet the needs of adults on the autism spectrum. OBJECTIVE:Our goal was to use a community-based participatory research (CBPR) approach to develop and evaluate tools to facilitate the primary healthcare of autistic adults. DESIGN:Toolkit development included cogniti...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-016-3763-6

    authors: Nicolaidis C,Raymaker D,McDonald K,Kapp S,Weiner M,Ashkenazy E,Gerrity M,Kripke C,Platt L,Baggs A

    更新日期:2016-10-01 00:00:00

  • Relationship between conflicts of interest and research results.

    abstract:CONTEXT:To date, research regarding the influence of conflicts of interest on the presentation of findings by researchers has been limited. OBJECTIVE:To evaluate the sources of funding for published manuscripts, and association between reported findings and conflicts of interest. METHODS:Data from both print and elec...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2004.30617.x

    authors: Friedman LS,Richter ED

    更新日期:2004-01-01 00:00:00

  • Surgery for herniated lumbar discs: a literature synthesis.

    abstract:OBJECTIVE:To assess the risks and benefits of surgery for herniated lumbar discs (discectomy) and to evaluate the methodologic quality of the literature. DESIGN:Literature synthesis. STUDY SELECTION AND DATA ANALYSIS: A structured MEDLINE search identified studies of standard, microsurgical, or percutaneous discectomy...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,meta分析

    doi:10.1007/BF02600110

    authors: Hoffman RM,Wheeler KJ,Deyo RA

    更新日期:1993-09-01 00:00:00

  • Racial/ethnic differences in multiple self-care behaviors in adults with diabetes.

    abstract:OBJECTIVE:To assess racial/ethnic differences in multiple diabetes self-care behaviors. DESIGN:Cross-sectional study. PARTICIPANTS:21,459 participants with diabetes in the 2003 Behavioral Risk Factor Surveillance survey. MEASUREMENTS:The study assessed self-care behaviors including physical activity, fruits/vegetabl...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-007-0120-9

    authors: Nwasuruba C,Khan M,Egede LE

    更新日期:2007-01-01 00:00:00

  • Subgroups of High-Cost Medicare Advantage Patients: an Observational Study.

    abstract:BACKGROUND:There is a growing focus on improving the quality and value of health care delivery for high-cost patients. Compared to fee-for-service Medicare, less is known about the clinical composition of high-cost Medicare Advantage populations. OBJECTIVE:To describe a high-cost Medicare Advantage population and iden...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-018-4759-1

    authors: Powers BW,Yan J,Zhu J,Linn KA,Jain SH,Kowalski JL,Navathe AS

    更新日期:2019-02-01 00:00:00

  • Medical Home Features of VHA Primary Care Clinics and Avoidable Hospitalizations.

    abstract:BACKGROUND:As the Veterans Health Administration (VHA) reorganizes providers into the patient-centered medical home, questions remain whether this model of care can demonstrate improved patient outcomes and cost savings. OBJECTIVE:We measured adoption of medical home features by VHA primary care clinics prior to wides...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11606-013-2405-5

    authors: Yoon J,Rose DE,Canelo I,Upadhyay AS,Schectman G,Stark R,Rubenstein LV,Yano EM

    更新日期:2013-09-01 00:00:00

  • Recent advances in the medical management of early HIV disease.

    abstract::The management of patients who have HIV disease, particularly those in early, asymptomatic disease stages, has recently improved. Clinical trials with zidovudine have demonstrated efficacy and greatly reduced toxicity when the drug is used for asymptomatic HIV-infected persons who have fewer than 500 CD4+ cells/mm3. A...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF02599251

    authors: Volberding PA

    更新日期:1991-01-01 00:00:00

  • Dual use of veterans health administration and Indian Health Service: healthcare provider and patient perspectives.

    abstract:BACKGROUND:Many American Indian and Alaska Native veterans are eligible for healthcare from Veterans Health Administration (VHA) and from Indian Health Service (IHS). These organizations executed a Memorandum of Understanding in 2003 to share resources, but little was known about how they collaborated to deliver health...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1007/s11606-009-0962-4

    authors: Kramer BJ,Vivrette RL,Satter DE,Jouldjian S,McDonald LR

    更新日期:2009-06-01 00:00:00

  • Prediction of one-year survival in high-risk patients with acute coronary syndromes: results from the SYNERGY trial.

    abstract:BACKGROUND:Despite advances in pharmacologic therapy and invasive management strategies for patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS), these patients still suffer substantial morbidity and mortality. OBJECTIVE:The objective of this study was to analyze independent predictors of 1-year ...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s11606-007-0498-4

    authors: Mahaffey KW,Yang Q,Pieper KS,Antman EM,White HD,Goodman SG,Cohen M,Kleiman NS,Langer A,Aylward PE,Col JJ,Reist C,Ferguson JJ,Califf RM,SYNERGY Trial Investigators.

    更新日期:2008-03-01 00:00:00

  • A workshop to teach medical students communication skills and clinical knowledge about end-of-life care.

    abstract::We describe a half-day workshop to teach third-year medical students three focused end-of-life care skills: breaking bad news, discussing advance directives, and assessing and managing pain. Our workshop included a readers' theater exercise and three role-play exercises. In two of the workshops, faculty members played...

    journal_title:Journal of general internal medicine

    pub_type: 杂志文章

    doi:10.1111/j.1525-1497.2004.30115.x

    authors: Torke AM,Quest TE,Kinlaw K,Eley JW,Branch WT Jr

    更新日期:2004-05-01 00:00:00