Meeting requirements and changing culture. The development of a web-based clinical skills evaluation system.

abstract：OBJECTIVE:Community physicians in the United States prescribe antibiotics to 80% to 90% of smokers with acute bronchitis. We performed a systematic review of the literature to determine the efficacy of antibiotics for smokers with acute bronchitis. DESIGN:A medline search was done using the keywords bronchitis, cough,...

journal_title：Journal of general internal medicine

authors： Linder JA,Sim I

更新日期：2002-03-01 00:00:00

abstract：OBJECTIVE:Growing evidence indicates that life-sustaining therapies for the treatment of acute myocardial infarction (AMI) are underused among patients eligible for therapy, including the elderly and women. We examined the effect of a patient's comorbidity burden on use of these highly effective therapies in eligible p...

journal_title：Journal of general internal medicine

authors： McLaughlin TJ,Soumerai SB,Willison DJ,Gurwitz JH,Gao X,Borbas C,Gobel F

更新日期：1997-01-01 00:00:00

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

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

abstract：BACKGROUND:Health systems are increasingly implementing remote telephone and Internet refill systems to enhance patient access to medication refills. Remote refill systems may provide an effective approach for improving medication non-adherence, but more research is needed among patients with limited English proficienc...

journal_title：Journal of general internal medicine

authors： Moreno G,Lin EH,Chang E,Johnson RL,Berthoud H,Solomon CC,Morales LS

更新日期：2016-03-01 00:00:00

abstract：BACKGROUND:Workforce projections indicate a potential shortage of up to 31,000 adult primary care providers by the year 2025. Approximately 80 % of internal medicine residents and nearly two-thirds of primary care internal medicine residents do not plan to have a career in primary care or general internal medicine. OB...

journal_title：Journal of general internal medicine

authors： Long T,Chaiyachati K,Bosu O,Sircar S,Richards B,Garg M,McGarry K,Solomon S,Berman R,Curry L,Moriarty J,Huot S

更新日期：2016-12-01 00:00:00

abstract：BACKGROUND:Many primary care physicians (PCPs) are ill-equipped to provide screening and counseling for inherited breast cancer. OBJECTIVE:To evaluate the outcomes of an interactive web-based genetics curriculum versus text curriculum for primary care physicians. DESIGN:Randomized two-group design. PARTICIPANTS:121 ...

journal_title：Journal of general internal medicine

authors： Bell RA,McDermott H,Fancher TL,Green MJ,Day FC,Wilkes MS

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:This study assesses the rate and predictors of treatment retention for primary care patients with opioid dependence-prescribed buprenorphine, a long-acting partial opioid agonist. METHODS:Observational cohort study of patients prescribed buprenorphine/naloxone and followed for 6 months in the period after t...

journal_title：Journal of general internal medicine

authors： Stein MD,Cioe P,Friedmann PD

更新日期：2005-11-01 00:00:00

abstract：OBJECTIVE:To describe how medical residents discuss do-not-resuscitate (DNR) orders with patients. DESIGN:Prospective observational study. SETTING:Inpatient medical wards of one university tertiary care center, one urban city public hospital, and one Veterans Affairs medical center. PARTICIPANTS:Thirty-one medical r...

journal_title：Journal of general internal medicine

authors： Tulsky JA,Chesney MA,Lo B

更新日期：1995-08-01 00:00:00

abstract：BACKGROUND:Inadequate pain assessment is a barrier to appropriate pain management, but single-item "pain screening" provides limited information about chronic pain. Multidimensional pain measures such as the Brief Pain Inventory (BPI) are widely used in pain specialty and research settings, but are impractical for prim...

journal_title：Journal of general internal medicine

authors： Krebs EE,Lorenz KA,Bair MJ,Damush TM,Wu J,Sutherland JM,Asch SM,Kroenke K

更新日期：2009-06-01 00:00:00

abstract：:Physicians and patients increasingly use social media technologies, such as Facebook, Twitter, and weblogs (blogs), both professionally and personally. Amidst recent reports of physician misbehavior online, as well as concerns about social media's potential negative effect on trust in the medical profession, several n...

journal_title：Journal of general internal medicine

authors： Decamp M

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:To address concerns that the Hospital Readmissions Reduction Program (HRRP) unfairly penalized safety net hospitals treating patients with high social and functional risks, Medicare recently modified HRRP to compare hospitals with similar proportions of high-risk, dual-eligible patients ("peer group hospital...

journal_title：Journal of general internal medicine

authors： Hsuan C,Braun TM,Ponce NA,Hoffman GJ

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:Standardized means to identify patients likely to benefit from language assistance are needed. OBJECTIVE:To evaluate the accuracy of the U.S. Census English proficiency question (Census-LEP) in predicting patients' ability to communicate effectively in English. DESIGN:We investigated the sensitivity and sp...

journal_title：Journal of general internal medicine

authors： Karliner LS,Napoles-Springer AM,Schillinger D,Bibbins-Domingo K,Pérez-Stable EJ

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Financial compensation for participating in research is controversial, especially when participants are recruited from economically disadvantaged and/or marginalized populations such as drug users. Little is known about these participants' own views regarding payment for research participation. OBJECTIVE:Th...

journal_title：Journal of general internal medicine

authors： Slomka J,McCurdy S,Ratliff EA,Timpson S,Williams ML

更新日期：2007-10-01 00:00:00

abstract：:Research on interventions within the standard of care has enormous potential, yet it also raises several ethical and regulatory challenges. Perhaps the most important is determining what consent process is needed for these "pragmatic" clinical trials. Some argue that pragmatic clinical trials need to obtain in-depth r...

journal_title：Journal of general internal medicine

authors： Wendler D

更新日期：2015-05-01 00:00:00

abstract：:The safety net, a collection of public hospitals, federally qualified health centers (FQHCs), and publicly funded community-based healthcare entities, provides essential care to middle-aged and older adults with geriatric conditions. The role of the safety net for these adults will intensify over the next two decades ...

journal_title：Journal of general internal medicine

authors： Chodos AH,Cassel CK,Ritchie CS

更新日期：2020-11-01 00:00:00

abstract：OBJECTIVE:To review the current information on medical complications, psychological implications, and legislative issues related to body piercing, a largely unregulated industry in the United States. METHODS:We conducted a MEDLINE search of English language articles from 1966 until May 1998 using the search terms "bod...

journal_title：Journal of general internal medicine

authors： Koenig LM,Carnes M

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:The Diabetes Prevention Program (DPP) intensive lifestyle intervention resulted in significant weight loss, reducing the development of diabetes, but needs to be adapted to primary care provider (PCP) practices. OBJECTIVES:To compare a DPP-translation using individual (IC) vs. conference (CC) calls delivere...

journal_title：Journal of general internal medicine

authors： Weinstock RS,Trief PM,Cibula D,Morin PC,Delahanty LM

更新日期：2013-12-01 00:00:00

abstract：OBJECTIVE:To lay the groundwork for a better understanding of patient views on medical confidentiality. DESIGN:Studies were found by searching medline, bioethicsline, and selected bibliographies. Articles concerning physician perspectives or implications of legal and administrative regulations were excluded. Only peer...

journal_title：Journal of general internal medicine

authors： Sankar P,Mora S,Merz JF,Jones NL

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND:Inadequate health literacy is prevalent among seniors and is associated with poor health outcomes. At hospital discharge, medications are frequently changed and patients are informed of these changes via their discharge instructions. OBJECTIVES:Explore the association between health literacy and medication ...

journal_title：Journal of general internal medicine

authors： Lindquist LA,Go L,Fleisher J,Jain N,Friesema E,Baker DW

更新日期：2012-02-01 00:00:00

abstract：:Decision analysis is a tool that clinicians can use to choose an option that maximizes the overall net benefit to a patient. It is an explicit, quantitative, and systematic approach to decision making under conditions of uncertainty. In this article, we present two teaching tips aimed at helping clinical learners unde...

journal_title：Journal of general internal medicine

authors： Lee A,Joynt GM,Ho AM,Keitz S,McGinn T,Wyer PC,EBM Teaching Scripts Working Group.

更新日期：2009-05-01 00:00:00

abstract：:To train more generalist physicians, structural changes must be made along the continuum of medical education. Future generalists require in-depth exposure to primary care practice, with substantive experience in the longitudinal management of patient panels and the opportunity to work with successful generalist role ...

journal_title：Journal of general internal medicine

authors： Burke W,Baron RB,Lemon M,Losh D,Novack A

更新日期：1994-04-01 00:00:00

abstract：BACKGROUND:Many patient education materials (PEMs) available on the internet are written at high school or college reading levels, rendering them inaccessible to the average US resident, who reads at or below an 8(th) grade level. Currently, electronic health record (EHR) providers partner with companies that produce P...

journal_title：Journal of general internal medicine

authors： Stossel LM,Segar N,Gliatto P,Fallar R,Karani R

更新日期：2012-09-01 00:00:00

abstract：INTRODUCTION:Applying Fair Information Practice principles to electronic health records (EHRs) requires allowing patient control over who views their data. METHODS:We designed a program that captures patients' preferences for provider access to an urban health system's EHR. Patients could allow or restrict providers' ...

journal_title：Journal of general internal medicine

authors： Tierney WM,Alpert SA,Byrket A,Caine K,Leventhal JC,Meslin EM,Schwartz PH

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Medical weblogs ("blogs") have emerged as a new connection between health professionals and the public. OBJECTIVE:To examine the scope and content of medical blogs and approximate how often blog authors commented about patients, violated patient privacy, or displayed a lack of professionalism. DESIGN:We de...

journal_title：Journal of general internal medicine

authors： Lagu T,Kaufman EJ,Asch DA,Armstrong K

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Little is known about the outcomes of in-hospital cardiopulmonary resuscitation (CPR) in Asian populations including elderly patients in Japan. OBJECTIVE:To determine the survival outcome of in-hospital CPR among elderly patients in Japan, and to identify predictors associated with survival. DESIGN:Retrosp...

journal_title：Journal of general internal medicine

authors： Hayashi T,Matsushima M,Bito S,Kanazawa N,Inoue N,Luthe SK,Wee CC

更新日期：2019-02-01 00:00:00

abstract：:One challenge of contemporary medical education is that shorter lengths of stay and time-limited clerkships often interrupt a student's relationship with a patient before a diagnosis is made or treatment is completed, limiting the learning experience. Medical students sometimes use electronic health records (EHRs) to ...

journal_title：Journal of general internal medicine

authors： Brisson GE,Barnard C,Tyler PD,Liebovitz DM,Neely KJ

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:In a prior study, we found patient satisfaction was associated with mortality. However, that study included few deaths, yielding wide confidence intervals, was criticized for possible morbidity under-adjustment, and lacked power to explore sociodemographic moderation. OBJECTIVE:To revisit the satisfaction-m...

journal_title：Journal of general internal medicine

authors： Jerant A,Fiscella K,Fenton JJ,Magnan EM,Agnoli A,Franks P

更新日期：2019-08-01 00:00:00

abstract：OBJECTIVE:To compare physicians' and their patients' attitudes toward pharmaceutical gifts. DESIGN:Survey of physicians and their patients. SETTING:Two tertiary-care medical centers, one military and one civilian. PARTICIPANTS:Two hundred sixty-eight of 392 consecutively surveyed physicians, 100 of 103 randomly sele...

journal_title：Journal of general internal medicine

authors： Gibbons RV,Landry FJ,Blouch DL,Jones DL,Williams FK,Lucey CR,Kroenke K

更新日期：1998-03-01 00:00:00

abstract：BACKGROUND:Whether having a stable and predictable lifestyle is associated with health care use and health status among HIV patients is unknown. OBJECTIVE:To develop and test the reliability and validity of a measure of life chaos for adults with HIV and examine its association with health care use and health status. ...

journal_title：Journal of general internal medicine

authors： Wong MD,Sarkisian CA,Davis C,Kinsler J,Cunningham WE

更新日期：2007-09-01 00:00:00

abstract：PURPOSE:Middle-aged men are at high risk of suicide. While about half of those who kill themselves visit a primary care clinician (PCC) shortly before death, in current practice, few spontaneously disclose their thoughts of suicide during the visits, and PCCs seldom inquire about such thoughts. In a randomized controll...

journal_title：Journal of general internal medicine

authors： Jerant A,Duberstein P,Kravitz RL,Stone DM,Cipri C,Franks P

更新日期：2020-07-01 00:00:00