Defining Medical Student Patient Care Responsibilities Before Intern Year: Results of a National Survey.

Abstract:

OBJECTIVES:Program directors have noted that first-year residents struggle with many of the patient care responsibilities they assume as they enter the US graduate medical education system. A national description of medical students' patient care experience in advance of graduation has not been published. We sought to describe the experience of US medical students during their clinical training by surveying the student representatives of each school. METHODS:We developed a mixed-methods survey that was delivered to representatives of 82 schools via an e-mail link to an online survey. RESULTS:Our response rate was 54% (44/82). Of those responding, 28% reported that students do not write any patient care orders at their institution and 34% reported not receiving pages related to patient care. Only 26% of institutions provide an increased patient load to students during their final year of training. Students identified many areas to improve the role of fourth-year medical students, including writing patient care orders, answering pages, increasing autonomy, defining their role better, and providing them with a longer subinternship experience. CONCLUSIONS:Our survey suggests that students are graduating from the undergraduate medical education system and moving to the graduate medical education system in the United States without a guarantee of having answered a page related to patient care or having placed a patient care order. Further studies of students' experiences should be conducted to explore whether exposure to these skills improves first-year resident performance.

journal_name

South Med J

journal_title

Southern medical journal

authors

King CJ,Bolton A,Guerrasio J,Trosterman A

doi

10.14423/SMJ.0000000000000738

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

765-769

issue

12

eissn

0038-4348

issn

1541-8243

pii

SMJ50467

journal_volume

110

pub_type

杂志文章
  • Addressing obesity in the hospitalized patient: a needs assessment.

    abstract:OBJECTIVE:To perform a needs assessment to determine the extent to which hospitalist providers recognize and intervene upon obese patients in the hospital setting. METHODS:A chart review was performed for patients admitted to the hospitalist service at Johns Hopkins Bayview Medical Center between September 1 and Octob...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181dfd715

    authors: Howe EE,Wright SM,Landis R,Kisuule F

    更新日期:2010-06-01 00:00:00

  • The impact of rheumatology in the primary care setting: one rheumatologist's odyssey.

    abstract::I report my experience during one 6-month period as the sole rheumatologist running a weekly clinic at a small community hospital. The report illustrates the impact of rheumatologic expertise in an environment well-served by generalists and other medical subspecialists. This experience identifies important gaps in the...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199503000-00004

    authors: Kerr LD

    更新日期:1995-03-01 00:00:00

  • Survey of major neurologic disorders in a biracial United States population: the Copiah County Study.

    abstract::To determine the prevalence of frequently occurring neurologic disorders in a biracial population, a survey of households and chronic care institutions was carried out for all residents of Copiah County, Mississippi. Along with a complete census, interviews were held using extensive questions about diagnoses, signs, a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198703000-00016

    authors: Haerer AF,Anderson DW,Schoenberg BS

    更新日期:1987-03-01 00:00:00

  • Brugada syndrome mimicking acute coronary syndrome.

    abstract::This report describes a 42-year-old man with Brugada syndrome (BRS) mimicking acute coronary syndrome. Chest pain, near-syncope, and electrocardiographic changes were thought initially to be due to ischemia. Cardiac catheterization was performed. The coronary arteries and left ventricular function were normal. Careful...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000168135.26545.a6

    authors: Yousef SE,Herre JM

    更新日期:2005-08-01 00:00:00

  • Papillary fibroelastoma of the mitral valve 12 years after mitral valve commissurotomy.

    abstract::A 63 year-old woman who had had mitral valve commissurotomy 12 years earlier was seen because of rheumatic mitral stenosis and left brachial paresis due to cerebral embolism. On clinical evaluation, a diastolic rumble was heard over the mitral area, and the echocardiogram revealed a mass attached to the mitral subvalv...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199910000-00017

    authors: Cesena FH,Pereira AN,Dallan LA,Aiello VD,Mansur AJ

    更新日期:1999-10-01 00:00:00

  • Massive oral theophylline poisoning.

    abstract::A patient ingested a massive amount of an oral theophylline preparation and recovered. The paucity of central nervous system manifestations may have been related to the presence of fulminant diarrhea with expulsion of the tablets per rectum. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197808000-00027

    authors: Iberti TJ,Hammond RS

    更新日期:1978-08-01 00:00:00

  • Acute febrile neutrophilic dermatosis: Sweet's syndrome.

    abstract::A case of acute febrile neutrophilic dermatosis (Sweet's syndrome) is described in a patient with chronic myelogenous leukemia, with a review of all published reports in the English literature. The disease is characterized by an acute febrile illness with painful plaques involving the extremities, face, and neck, and ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197811000-00010

    authors: Chmel H,Armstrong D

    更新日期:1978-11-01 00:00:00

  • Declines in smokers' understanding of tobacco's hazards between 1986 and 1998: a report from north Georgia.

    abstract:BACKGROUND:The prevalence of smoking in the general US population has declined significantly over the past few decades. Despite this, few studies have examined changes in cigarette attributes perceived by less educated, rural, or southern populations. METHODS:A survey was administered to individuals in clinic waiting ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Frank E,Denniston M,Pederson L

    更新日期:2002-07-01 00:00:00

  • Penile tourniquet syndrome caused by hair.

    abstract::We have described two circumcised children who developed a urethral fistula caused by long hairs constricting and ulcerating the penis. These cases are presented to remind physicians to examine the infant's penis when he presents with a swollen glans, abnormal urinary stream, and a parent with long hair. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197905000-00036

    authors: Toguri AG,Light RA,Warren MM

    更新日期:1979-05-01 00:00:00

  • Hammertoe surgery: waist resection of the proximal phalanx, a more simplified procedure.

    abstract::A technic for correcting hammertoe and other toe deformities by waist resection of the proximal phalanges of the toes effectively corrected these conditions in 95 patients and 466 toes. This procedure can be done quickly and easily with low morbidity. Through a very short incision over the waist of the proximal phalan...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: McConnell BE

    更新日期:1975-05-01 00:00:00

  • Chest pain evaluation unit: a cost-effective approach for ruling out acute myocardial infarction.

    abstract::We compared a "cardiac profile" test with standard creatine kinase (CK) and lactic dehydrogenase (LD) electrophoresis in 798 cases of possible acute myocardial infarction (MI). The cardiac profile enzyme screen (CK-B, CK, LD) used on 495 patients who came to the emergency department with chest pain suggestive of acute...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: de Leon AC Jr,Farmer CA,King G,Manternach J,Ritter D

    更新日期:1989-09-01 00:00:00

  • Impact of two ambulatory care training programs on smoking-cessation activities.

    abstract:BACKGROUND:Tobacco use causes significant morbidity and mortality. Resident physicians at the George Washington University Medical Center are trained to counsel patients to stop smoking. METHODS:I retrospectively reviewed charts of 300 patients treated by resident physicians in the Department of Medicine (200) and the...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199910000-00007

    authors: Borum ML

    更新日期:1999-10-01 00:00:00

  • Fever of unknown origin from a left atrial myxoma: an immunologic basis and cytokine association.

    abstract::Myxoma is the most common primary tumor of the heart. The typical presentations include a triad of embolic phenomena, intracardiac flow obstruction, and constitutional symptoms. We report a case of cardiac myxoma presenting as prolonged fever. Leukocytosis with a left shift, anemia, and elevated C-reactive protein wer...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3182142bbd

    authors: Lin JN,Lai CH,Lu LF,Lin HH

    更新日期:2011-05-01 00:00:00

  • Blood loss at vaginal delivery.

    abstract::Although the accurate assessment of blood loss at vaginal delivery is clinically important in terms of maternal morbidity and mortality, the quantity is usually underestimated. We present a simple, practical, and convenient method of quantitating blood loss at vaginal delivery. The method of vaginal delivery (spontane...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198602000-00013

    authors: Hill JA,Fadel HE,Nelson MC,Nelson RM,Nelson GH

    更新日期:1986-02-01 00:00:00

  • Thoracoabdominal radiculopathy.

    abstract::Thoracic nerve root dysfunction (TNRD) manifested as abdominal pain is an infrequently reported condition. We present data on six patients who had chronic intermittent thoracoabdominal pain originating in the back. Diabetes and osteoarthritis of the spine were the chief causes of these symptoms. The electromyogram in ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198802000-00014

    authors: Sellman MS,Mayer RF

    更新日期:1988-02-01 00:00:00

  • Insulin resistance syndrome: options for treatment.

    abstract:BACKGROUND:Insulin resistance is characterized by impaired responsiveness to endogenous or exogenous insulin. Loss of responsiveness is associated with a "clustering" of cardiovascular risk factors that includes abdominal obesity, hypertension, dyslipidemia, glucose intolerance, and hyperinsulinemia; this association i...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199901000-00002

    authors: Granberry MC,Fonseca VA

    更新日期:1999-01-01 00:00:00

  • Successful medical management of neutropenic enterocolitis in adults with acute leukemia.

    abstract::Seven adults with acute leukemia had a clinical and radiologic diagnosis of neutropenic enterocolitis. Six of the seven patients had granulocyte counts less than 500/microliter. All seven patients responded to intensive medical therapy, including bowel rest, broad spectrum antibiotics, and white blood cell transfusion...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198710000-00008

    authors: O'Brien S,Kantarjian HM,Anaissie E,Dodd G,Bodey GP

    更新日期:1987-10-01 00:00:00

  • Total gastrectomy for gastric carcinoma.

    abstract::We retrospectively analyzed experience with total gastrectomy (TG) for gastric carcinoma in 23 patients. The TNM stage was I in one patient, II in one patient, III in eight patients, and IV in 13. Linitis plastica was found in ten patients. The operation was considered curative in only eight patients (35%). There were...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198908000-00011

    authors: Brando CR,Halpern NB,Aldrete JS

    更新日期:1989-08-01 00:00:00

  • Prevalence and Clinical Impact of Atrial Fibrillation in Patients with Pulmonary Embolism.

    abstract:OBJECTIVES:Atrial fibrillation (AF) has been suggested as a cause for pulmonary embolism (PE). We aimed to explore the prevalence and clinical impact of AF in patients with PE. METHODS:Using the 2012-2014 National (Nationwide) Inpatient Sample database, we identified "adult patients with PE" as the principal discharge...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000001059

    authors: Yang Y,Liu B,Taylor J,Huang Z,Gupta S,Thumma S,Wu L,Wang S,Everett G

    更新日期:2020-02-01 00:00:00

  • Giant cell arteritis in a black patient.

    abstract::Giant cell arteritis has been thought to occur only in white patients. There have been several recent reports of this disorder to blacks, however, and this case of biopsy-proven giant cell arteritis in a black patient indicates the diagnosis should be considered in any elderly patient with typical symptoms regardless ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197909000-00045

    authors: Wilson JW,Topolosky MK,Hettleman BD,Bredehoeft SJ

    更新日期:1979-09-01 00:00:00

  • Attitudes of internal medicine physicians toward type 2 diabetes.

    abstract:BACKGROUND:This study was designed to identify differences among internists in their attitudes about diabetes and how those attitudes influence practice behavior. METHODS:A cross-sectional study of 55 internists in an academic medical center was done using the Diabetes Attitude Scale (DAS-3), a valid and reliable meas...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Egede LE,Michel Y

    更新日期:2002-01-01 00:00:00

  • Normeperidine-induced seizures in hereditary coproporphyria.

    abstract::Seizures are common in acute exacerbations of hepatic porphyria, even though the etiology is not identified in most cases. We have reported a case of normeperidine-induced seizures in a patient with hereditary coproporphyria. Although meperidine is commonly used for pain control during acute attacks in these patients,...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199011000-00020

    authors: Deeg MA,Rajamani K

    更新日期:1990-11-01 00:00:00

  • Recurrent pneumococcal pneumonia in an HIV-positive patient with lymphoid interstitial pneumonitis.

    abstract::Lymphoid interstitial pneumonitis (LIP) is a rare complication of AIDS in adults. Patients with AIDS and LIP are at high risk for bacterial pneumonia caused by Streptococcus pneumoniae, Haemophilus influenzae, and Staphylococcus aureus. We have described an HIV-positive patient with LIP complicated by recurrent pneumo...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199210000-00022

    authors: Harley W,Horton JM,Corbin RP

    更新日期:1992-10-01 00:00:00

  • Renocolic fistula.

    abstract::A case of left renocolic fistula secondary to chronic pyonephrosis has been reported. Neprectomy, excision of the fistulous tract, and closure of the colon is the treatment of choice. This was accomplished in this case with excellent results. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197505000-00033

    authors: Vargas AD,Victor I

    更新日期:1975-05-01 00:00:00

  • Pseudo-central hypothyroidism.

    abstract::Central hypothyroidism is an exceedingly rare form of hypothyroidism that results from a variety of conditions affecting the hypothalamus and the pituitary gland. The classic biochemical abnormality seen in these patients includes a low serum level of circulating thyroxine (T4) concomitant with an inappropriately low ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000051278.88218.03

    authors: Basaria S,Altman K,Braga-Basaria M

    更新日期:2003-02-01 00:00:00

  • Chest pain: a rheumatologist's perspective.

    abstract::Chest pain is a frequent patient complaint that requires a careful history and physical examination to determine its cause. Cardiac and esophageal causes of chest pain are common, but musculoskeletal disorders such as Tietze's syndrome, chest wall pain syndromes, fibrositis, inflammatory arthritic conditions, cervical...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198801000-00014

    authors: Semble EL,Wise CM

    更新日期:1988-01-01 00:00:00

  • Pyarthrosis simulating ruptured rotator cuff syndrome.

    abstract::A 50-year-old black man was admitted with a diagnosis of a ruptured rotator cuff syndrome two weeks after an injury to the right shoulder and treatment by intra-articular steroid injection. At operation pus and necrotic debris were found in the shoulder joint, but the rotator cuff was anatomically intact. Surgical deb...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198206000-00037

    authors: Gordon EJ,Hutchful GA

    更新日期:1982-06-01 00:00:00

  • Mesenteric lipodystrophy with fever of unknown origin and mesenteric calcifications.

    abstract::Mesenteric lipodystrophy (ML) is a rare condition characterized by a nonspecific inflammatory process that involves the root of the mesentery in a lipoma-like lesion. Presenting features of ML include abdominal pain, weight loss, nausea, vomiting, diarrhea, and constipation. This case illustrates that ML should be inc...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199905000-00013

    authors: Hemaidan A,Vanegas F,Alvarez OA,Arroyo MA,Lee M

    更新日期:1999-05-01 00:00:00

  • Superior mesenteric artery syndrome: an uncommon cause of intestinal obstruction.

    abstract::Superior mesenteric artery (SMA) syndrome is an atypical cause of high intestinal obstruction, most frequently occurring in patients who have had rapid weight loss. Identification of this syndrome can be a diagnostic dilemma and is frequently made by exclusion. The most characteristic symptoms are postprandial epigast...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Baltazar U,Dunn J,Floresguerra C,Schmidt L,Browder W

    更新日期:2000-06-01 00:00:00

  • Leukocytosis and hypercalcemia: a rare combination of paraneoplastic features in squamous cell penile cancer.

    abstract::Penile cancer is very rare in North America and Europe, as compared with the rest of the world. Squamous cell carcinoma (SCC) accounts for more than 95% of the cancer type. Paraneoplastic syndrome (PNS), a clinical syndrome of nonmetastatic systemic effects that occurs in patients with malignant disease, is often asso...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181d7b802

    authors: Doraiswamy VA,Biboa J,Obafemi A,Goldschmid M

    更新日期:2010-05-01 00:00:00