Chapter 2: medical tests guidance (2) developing the topic and structuring systematic reviews of medical tests: utility of PICOTS, analytic frameworks, decision trees, and other frameworks.

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：OBJECTIVE:In a study conducted over 3 large symposia on intensive review of internal medicine, we previously assessed the features that were most important to course participants in evaluating the quality of a lecture. In this study, we attempt to validate these observations by assessing prospectively the extent to whi...

journal_title：Journal of general internal medicine

authors： Copeland HL,Longworth DL,Hewson MG,Stoller JK

更新日期：2000-06-01 00:00:00

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

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

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Residents demonstrate scholarly activity by presenting posters at academic meetings. Although recommendations from national organizations are available, evidence identifying which components are most important is not. OBJECTIVE:To develop and test an evaluation tool to measure the quality of case report pos...

journal_title：Journal of general internal medicine

authors： Willett LL,Paranjape A,Estrada C

更新日期：2009-03-01 00:00:00

abstract：:The study of expressed proteins in neoplasia is undergoing a revolution with the advent of proteomic analysis. Unlike genomic studies where individual changes may have no functional significance, protein expression is closely aligned with cellular activity. This perspective will review proteomics as a method of detect...

journal_title：Journal of general internal medicine

authors： Conrad DH,Goyette J,Thomas PS

更新日期：2008-01-01 00:00:00

abstract：OBJECTIVE:To examine experiences of older persons and their clinicians with shared decision making (SDM) and their willingness to use an SDM instrument. DESIGN:Qualitative focus group study. PARTICIPANTS:Four focus groups of 41 older persons and 2 focus groups of 11 clinicians, purposively sampled to encompass a rang...

journal_title：Journal of general internal medicine

authors： Naik AD,Schulman-Green D,McCorkle R,Bradley EH,Bogardus ST Jr

更新日期：2005-07-01 00:00:00

abstract：OBJECTIVE:Our goal was to establish whether psychosocial risk factors for nonadherence, previously identified as negative predictors of warfarin prescribing, are predictors of adverse events for patients with nonvalvular atrial fibrillation receiving warfarin. DESIGN:Retrospective cohort analysis. SETTING:Ohio Medica...

journal_title：Journal of general internal medicine

authors： Schauer DP,Moomaw CJ,Wess M,Webb T,Eckman MH

更新日期：2005-12-01 00:00:00

abstract：BACKGROUND:Medical student interest in internal medicine is decreasing. Whether the internal medicine sub-internship affects intent to pursue internal medicine is unknown. OBJECTIVE:Determine the immediate and longer-term effect of the medicine sub-internship on students' decision to pursue internal medicine residency...

journal_title：Journal of general internal medicine

authors： Kogan JR,Shea JA,O'Grady E,Bellini LM,Ciminiello F

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:Many medical schools have incorporated the Stages of Change Model into their curricula with specific application to tobacco cessation. OBJECTIVE:This study examined the extent to which medical students were prepared to provide stage-based interventions to treat nicotine dependence. DESIGN:Using a quasi-exp...

journal_title：Journal of general internal medicine

authors： Prochaska JJ,Teherani A,Hauer KE

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVE:Determine relationships between age, self-reported health, and satisfaction in a large cohort of hospitalized patients. DESIGN:Cross-sectional survey. SETTING:Thirty-one hospitals in a large Midwestern metropolitan area. PATIENTS/PARTICIPATION: Randomly selected medical and surgical patients (N = 64,900; me...

journal_title：Journal of general internal medicine

authors： Jaipaul CK,Rosenthal GE

更新日期：2003-01-01 00:00:00

abstract：PURPOSE:Recent reports have emphasized the importance of delivery systems in improving health care quality. However, few prior studies have assessed differences in primary care quality between physician groups that differ in size and organizational configuration. We examined whether larger physician group size and affi...

journal_title：Journal of general internal medicine

authors： Friedberg MW,Coltin KL,Pearson SD,Kleinman KP,Zheng J,Singer JA,Schneider EC

更新日期：2007-10-01 00:00:00

abstract：BACKGROUND:eConsult programs have been instituted to increase access to specialty expertise. Opt-in choice eConsult programs maintain primary care physician (PCP) autonomy to decide whether to utilize eConsults versus traditional specialty referrals, but little is known about how this intervention may impact PCP eConsu...

journal_title：Journal of general internal medicine

authors： Rikin S,Zhang C,Lipsey D,Deluca J,Epstein EJ,Berger M,Tomer Y,Arnsten JH

更新日期：2020-11-01 00:00:00

abstract：:This report examines alternative methods of paying for clinical preventive care services. First, the extent of coverage of preventive health care services in public and private health insurance plans is reviewed. Included in this review are Medicare, Medicaid, health maintenance organizations, and private health insur...

journal_title：Journal of general internal medicine

authors： Davis K,Bialek R,Parkinson M,Smith J,Vellozzi C

更新日期：1990-09-01 00:00:00

abstract：:To meet the demand by residents and to provide knowledge and skills important to the developing physician, global health (GH) training opportunities are increasingly being developed by United States (U.S.) residency training programs. However, many residency programs face common challenges of developing GH curricula, ...

journal_title：Journal of general internal medicine

authors： Arora G,Ripp J,Evert J,Rabin T,Tupesis JP,Hudspeth J

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:Differences among hospitals in the use of inpatient consultation may contribute to variation in outcomes and costs for hospitalized patients, but basic epidemiologic data on consultations nationally are lacking. OBJECTIVE:The purpose of the study was to identify physician, hospital, and geographic factors t...

journal_title：Journal of general internal medicine

authors： Stevens JP,Nyweide D,Maresh S,Zaslavsky A,Shrank W,Howell MD,Landon BE

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Studies on forgoing treatment often ignore treatments that are continued until death. OBJECTIVE:To investigate how often specific treatments are withdrawn or withheld before death and to describe the associated patient, physician, and care characteristics. DESIGN:National mortality follow-back study in Swi...

journal_title：Journal of general internal medicine

authors： Penders YWH,Bopp M,Zellweger U,Bosshard G,Swiss Medical End-of-Life Decisions Study Group.

更新日期：2020-01-01 00:00:00

abstract：:Chronic eosinophilic pneumonia (CEP) is a rare interstitial lung disease characterized by subacute dyspnea, peripheral infiltrates on imaging, and pulmonary eosinophilia. We report a case of a 48-year-old man who presented to a "minute clinic" with cough and dyspnea. After improvement on a short course of steroids for...

journal_title：Journal of general internal medicine

authors： Kolb AG,Ives ST,Davies SF

更新日期：2013-07-01 00:00:00

abstract：BACKGROUND:Physician opinion can influence the prospects for health care reform, yet there are few recent data on physician views on reform proposals or access to medical care in the United States. OBJECTIVE:To assess physician views on financing options for expanding health care coverage and on access to health care....

journal_title：Journal of general internal medicine

authors： McCormick D,Woolhandler S,Bose-Kolanu A,Germann A,Bor DH,Himmelstein DU

更新日期：2009-04-01 00:00:00

abstract：OBJECTIVE:To quantify the magnitude of general medical and/or pharmacy claims expenditures for individuals who use behavioral health services and to assess future claims when behavioral service use persists. DESIGN:Retrospective cost trends and 24-month cohort analyses. SETTING:A Midwest health plan. PARTICIPANTS:Ov...

journal_title：Journal of general internal medicine

authors： Kathol RG,McAlpine D,Kishi Y,Spies R,Meller W,Bernhardt T,Eisenberg S,Folkert K,Gold W

更新日期：2005-02-01 00:00:00

abstract：:There is reason for pessimism about the incorporation of prevention into medical education. In addition to what might be called the standard reasons for resistance to prevention, there are at least three other structural barriers: the destabilization of the health care system, the loss of interest in careers in primar...

journal_title：Journal of general internal medicine

authors： Fried RA

更新日期：1990-09-01 00:00:00

abstract：OBJECTIVE:To determine the relevance of the initial certifying examination to the practice of internal medicine and the suitability of items used in initial certification for recertification. DESIGN:Using a matrix-sampling approach, items from the 1991 Certifying Examination were assigned to two sets of judges: direct...

journal_title：Journal of general internal medicine

authors： Norcini JJ,Day SC,Grosso LJ,Langdon LO,Kimball HR,Popp RL,Goldfinger SE

更新日期：1993-02-01 00:00:00

abstract：BACKGROUND:Adverse drug events after hospital discharge are common and often serious. These events may result from provider errors or patient misunderstanding. OBJECTIVE:To determine the prevalence of medication reconciliation errors and patient misunderstanding of discharge medications. DESIGN:Prospective cohort stu...

journal_title：Journal of general internal medicine

authors： Ziaeian B,Araujo KL,Van Ness PH,Horwitz LI

更新日期：2012-11-01 00:00:00

abstract：INTRODUCTION:Despite the 1984 United Nations's Convention Against Torture calling to train doctors to work with torture survivors, many physicians are unaware of their obligation and few are taught the requisite clinical skills. AIM:To describe the development, implementation, and evaluation of a curriculum to teach r...

journal_title：Journal of general internal medicine

authors： Metalios EE,Asgary RG,Cooperman N,Smith CL,Du E,Modali L,Sacajiu G

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:Business literature has demonstrated the importance of networking and connections in career advancement. This is a little-studied area in academic medicine. OBJECTIVE:To examine predictors of intra-organizational connections, as measured by network reach (the number of first- and second-degree coauthors), a...

journal_title：Journal of general internal medicine

authors： Warner ET,Carapinha R,Weber GM,Hill EV,Reede JY

更新日期：2016-01-01 00:00:00

abstract：:This paper was inadvertently published with open access; the authors have requested the copyright revert to the society. It has been re-published with appropriate licensing. ...

journal_title：Journal of general internal medicine

authors： Maraj B,Harding-Theobald E,Karaki F

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:The Medicare Accountable Care Organization (ACO) programs encourage integration of providers into large groups and reward provider groups for improving quality, but not explicitly for reducing health care disparities. Larger group size and better overall quality may or may not be associated with smaller disp...

journal_title：Journal of general internal medicine

authors： Anderson RE,Ayanian JZ,Zaslavsky AM,McWilliams JM

更新日期：2014-09-01 00:00:00

abstract：:The lack of effective and consistent research mentorship and research mentor training in both undergraduate medical education (UME) and graduate medical education (GME) is a critical constraint on the development of innovative and high quality medical education research. Clinical research mentors are often not familia...

journal_title：Journal of general internal medicine

authors： Blanchard RD,Visintainer PF,La Rochelle J

更新日期：2015-09-01 00:00:00

abstract：OBJECTIVE:To examine the characteristics and outcomes of physician-referred weight management patients relative to self-referred patients. DESIGN:Review of clinic records of all individuals contacting a weight control program during a 2-year period with follow-up throughout consecutive levels of treatment (i.e., enrol...

journal_title：Journal of general internal medicine

authors： Binks M,O'Neil MP

更新日期：2002-08-01 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:Few data have evaluated the relationship between caregiving and cardiovascular disease (CVD) risk. OBJECTIVE:The purpose of this study was to determine the prevalence and predictors of caregiver strain and to evaluate the association between caregiving and CVD lifestyle and psychosocial risk factors among f...

journal_title：Journal of general internal medicine

authors： Aggarwal B,Liao M,Christian A,Mosca L

更新日期：2009-01-01 00:00:00