abstract：INTRODUCTION:Whether the clinical vignettes presented at the Society of General Internal Medicine (SGIM) annual meeting could be of educational value to third year students in the Internal Medicine clerkship has not been studied. OBJECTIVE:To explore the relevance and learning value of clinical vignettes from the SGIM...

journal_title：Journal of general internal medicine

authors： Wofford JL,Singh S

更新日期：2006-11-01 00:00:00

abstract：OBJECTIVE:To explore the effect of race on primary care quality and satisfaction among women in the Department of Veterans Affairs (VA). METHODS:We used a mail survey to measure primary care quality and satisfaction. We focused on 4 primary care domains: patient preference for provider, interpersonal communication, ac...

journal_title：Journal of general internal medicine

authors： Bean-Mayberry B,Chang CC,Scholle SH

更新日期：2006-10-01 00:00:00

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

authors： Reisman AB,Hansen H,Rastegar A

更新日期：2006-10-01 00:00:00

abstract：BACKGROUND:Domestic violence (DV) is prevalent across all racial and socioeconomic classes in the United States. Little is known about whether physicians differentially screen based on a patient's race or socioeconomic status (SES) or about resident physician screening attitudes and practices. OBJECTIVE:To assess the ...

journal_title：Journal of general internal medicine

authors： Baig A,Shadigian E,Heisler M

更新日期：2006-09-01 00:00:00

abstract：BACKGROUND:Health literacy has been linked to health status in a variety of chronic diseases. However, evidence for a relationship between health literacy and mental health outcomes is sparse. OBJECTIVE:We hypothesized that low literacy would be associated with higher addiction severity, higher levels of depressive sy...

journal_title：Journal of general internal medicine

authors： Lincoln A,Paasche-Orlow MK,Cheng DM,Lloyd-Travaglini C,Caruso C,Saitz R,Samet JH

更新日期：2006-08-01 00:00:00

abstract：BACKGROUND:Patients with limited literacy skills are routinely encountered in clinical practice, but they are not always identified by clinicians. OBJECTIVE:To evaluate 3 candidate questions to determine their accuracy in identifying patients with limited or marginal health literacy skills. METHODS:We studied 305 Eng...

journal_title：Journal of general internal medicine

authors： Wallace LS,Rogers ES,Roskos SE,Holiday DB,Weiss BD

更新日期：2006-08-01 00:00:00

abstract：:Endovascular infections are 1 cause of fever of unknown origin. We describe a diagnostically challenging case of cryptogenic abdominal aortitis from Streptococcus pneumoniae and Enterobacter aerogenes. A 72-year-old male presented with epigastric pain, fevers, and chills. A computed tomography scan demonstrated enlarg...

journal_title：Journal of general internal medicine

authors： Rondina MT,Raphael K,Pendleton R,Sande MA

更新日期：2006-07-01 00:00:00

abstract：BACKGROUND:Disclosure of medical errors is encouraged, but research on how patients respond to specific practices is limited. OBJECTIVE:This study sought to determine whether full disclosure, an existing positive physician-patient relationship, an offer to waive associated costs, and the severity of the clinical outco...

journal_title：Journal of general internal medicine

authors： Mazor KM,Reed GW,Yood RA,Fischer MA,Baril J,Gurwitz JH

更新日期：2006-07-01 00:00:00

abstract：BACKGROUND/OBJECTIVE:Diet books dominate the New York Times Advice Best Seller list and consumers cite such books as an important source of nutrition information. However, the scientific support for nutrition claims presented as fact (nutrition facts) in diet books is not known. DESIGN/MEASUREMENTS:We assessed the qua...

journal_title：Journal of general internal medicine

authors： Goff SL,Foody JM,Inzucchi S,Katz D,Mayne ST,Krumholz HM

更新日期：2006-07-01 00:00:00

abstract：:The clinical presentation of lead intoxication may vary widely and in the absence of a high clinical index of suspicion, the diagnosis may be missed. The effects of lead on mitochondrial oxidative phosphorylation and its interaction with calcium-mediated processes explain the heterogenous presentation. In this case re...

journal_title：Journal of general internal medicine

authors： Dedeken P,Louw V,Vandooren AK,Verstegen G,Goossens W,Dubois B

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:Referral from primary care to the mental health specialty sector is important but poorly understood. OBJECTIVE:Identify physician characteristics influencing mental health referral. DESIGN:Randomized controlled trial using Standardized Patients (SPs). SETTING:Offices of primary care physicians in 3 cities...

journal_title：Journal of general internal medicine

authors： Kravitz RL,Franks P,Feldman M,Meredith LS,Hinton L,Franz C,Duberstein P,Epstein RM

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:Many scholars have written about the historical underpinnings and likely consequences of African Americans distrust in health care, yet little research has been done to understand if and how this distrust affects African Americans' current views of the trustworthiness of physicians. OBJECTIVE:To better unde...

journal_title：Journal of general internal medicine

authors： Jacobs EA,Rolle I,Ferrans CE,Whitaker EE,Warnecke RB

更新日期：2006-06-01 00:00:00

abstract：PURPOSE:Anxiety is thought to affect test performance. Studies have shown that students with low levels of test anxiety achieve higher scores on multiple choice question (MCQ) examinations than those with high anxiety levels. Female students have been shown to have higher test anxiety levels than male students. Standar...

journal_title：Journal of general internal medicine

authors： Reteguiz JA

更新日期：2006-05-01 00:00:00

abstract：BACKGROUND:Entry into general internal medicine (GIM) has declined. The effect of the inpatient general medicine rotation on medical student career choices is uncertain. OBJECTIVE:To assess the effect of student satisfaction with the inpatient general medicine rotation on pursuit of a career in GIM. DESIGN:Multicente...

journal_title：Journal of general internal medicine

authors： Arora V,Wetterneck TB,Schnipper JL,Auerbach AD,Kaboli P,Wachter RM,Levinson W,Humphrey HJ,Meltzer D

更新日期：2006-05-01 00:00:00

abstract：BACKGROUND:Residents must master complex skills to care for culturally and linguistically diverse patients. METHODS:As part of an annual 10-station, standardized patient (SP) examination, medical residents interacted with a 50-year-old reserved, Bengali-speaking woman (SP) with a positive fecal occult blood accompanie...

journal_title：Journal of general internal medicine

authors： Zabar S,Hanley K,Kachur E,Stevens D,Schwartz MD,Pearlman E,Adams J,Felix K,Lipkin M Jr,Kalet A

更新日期：2006-05-01 00:00:00

abstract：BACKGROUND:Despite known benefits of influenza vaccination and coverage by Medicare Part B, elderly minority patients are less likely to receive influenza vaccination than whites. OBJECTIVES:To test whether a nonphysician-initiated standardized offer of influenza vaccination to all elderly primary care patients would ...

journal_title：Journal of general internal medicine

authors： Schwartz KL,Neale AV,Northrup J,Monsur J,Patel DA,Tobar R Jr,Wortley PM

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:Women veterans are generally less healthy than their nonveteran female counterparts or male veterans. Accumulating evidence suggests there may be barriers to women veterans' access to and use of Veterans Health Administration (VHA) care. OBJECTIVE:To document perceived and/or actual barriers to care in a na...

journal_title：Journal of general internal medicine

authors： Vogt D,Bergeron A,Salgado D,Daley J,Ouimette P,Wolfe J

更新日期：2006-03-01 00:00:00

abstract：OBJECTIVE:To determine the prevalence and frequency of mastalgia and its association with psychiatric conditions and unexplained pain syndromes. DESIGN, SETTING, AND PARTICIPANTS:Cross-sectional mailed survey completed by 1,219 female veterans enrolled at the VA Puget Sound Health Care System in 1998. MEASUREMENTS:Br...

journal_title：Journal of general internal medicine

authors： Johnson KM,Bradley KA,Bush K,Gardella C,Dobie DJ,Laya MB

更新日期：2006-03-01 00:00:00

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

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

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:Recurrent operational problems in teaching clinics may be caused by the different medical preferences of patients, residents, faculty, and administrators. These preference differences can be identified by cultural consensus analysis (CCA), a standard anthropologic tool. OBJECTIVE:This study tests the export...

journal_title：Journal of general internal medicine

authors： Smith CS,Morris M,Hill W,Francovich C,McMullin J,Christiano J,Chavez L,Roth C,Vo A,Wheeler S,Milne C

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:Depression is common among older patients yet is often inadequately treated. Patient beliefs about antidepressants are known to affect treatment initiation and adherence, but are often not expressed in clinical settings. OBJECTIVE:To explore attitudes toward antidepressants in a sample of depressed, communi...

journal_title：Journal of general internal medicine

authors： Givens JL,Datto CJ,Ruckdeschel K,Knott K,Zubritsky C,Oslin DW,Nyshadham S,Vanguri P,Barg FK

更新日期：2006-02-01 00:00:00

abstract：OBJECTIVES:To assess the prevalence and persistence of depression in patients with acute myocardial infarction (AMI) and the relationship between assessment modality and prevalence. DATA SOURCES:MEDLINE, Cochrane, CINAHL, PsycINFO, and EMBASE. REVIEW METHODS:A comprehensive search was conducted in March 2004 to ident...

journal_title：Journal of general internal medicine

authors： Thombs BD,Bass EB,Ford DE,Stewart KJ,Tsilidis KK,Patel U,Fauerbach JA,Bush DE,Ziegelstein RC

更新日期：2006-01-01 00:00:00

abstract：OBJECTIVE:Translating lessons from clinical trials on the prevention or delay of type 2 diabetes to populations in nonstudy settings remains a challenge. The purpose of this paper is to review, from the perspective of practicing clinicians, available evidence on lifestyle interventions or medication to prevent or delay...

journal_title：Journal of general internal medicine

authors： Burnet DL,Elliott LD,Quinn MT,Plaut AJ,Schwartz MA,Chin MH

更新日期：2006-01-01 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：OBJECTIVE:To explore colorectal cancer (CRC) screening knowledge, attitudes, barriers, and preferences among urban African Americans as a prelude to the development of culturally appropriate interventions to improve screening for this group. DESIGN:Qualitative focus group study with assessment of CRC screening prefere...

journal_title：Journal of general internal medicine

authors： Greiner KA,Born W,Nollen N,Ahluwalia JS

更新日期：2005-11-01 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：BACKGROUND:In response to proposed federal legislation, the Accreditation Council for Graduate Medical Education limited resident work-hours in July 2003. The cost may be substantial but, if successful, the reform might lower preventable adverse event costs in hospital and after discharge. OBJECTIVES:This study sought...

journal_title：Journal of general internal medicine

authors： Nuckols TK,Escarce JJ

更新日期：2005-10-01 00:00:00

abstract：OBJECTIVES:To develop and evaluate a web-based curriculum to introduce first year medical students to the knowledge and attitudes necessary for working with limited English proficient (LEP) patients through interpreters. METHOD:Six hundred and forty first year medical students over 4 consecutive years took this curric...

journal_title：Journal of general internal medicine

authors： Kalet AL,Mukherjee D,Felix K,Steinberg SE,Nachbar M,Lee A,Changrani J,Gany F

更新日期：2005-10-01 00:00:00

abstract：:Errors in telephone communication can result in outcomes ranging from inconvenience and anxiety to serious compromises in patient safety. Although 25% of interactions between physicians and patients take place on the telephone, little has been written about telephone communication and medical mishaps. Similarly, train...

journal_title：Journal of general internal medicine

authors： Reisman AB,Brown KE

更新日期：2005-10-01 00:00:00

abstract：BACKGROUND:It is assumed that the performance of more senior residents is superior to that of interns, but this has not been assessed objectively. OBJECTIVE:To determine whether adherence to national guidelines for outpatient preventive health services differs by year of residency training. DESIGN:Cross-sectional stu...

journal_title：Journal of general internal medicine

authors： Willett LL,Palonen K,Allison JJ,Heudebert GR,Kiefe CI,Massie FS,Wall TC,Houston TK

更新日期：2005-09-01 00:00:00

abstract：OBJECTIVE:To report rates of cost-related skipping of medications and other treatments, assess correlates of skipping, examine changes in skipping between 1998 and 2000, and identify factors associated with changes in skipping. DESIGN, SETTING, AND PARTICIPANTS:Cross-sectional and longitudinal analyses of surveys of a...

journal_title：Journal of general internal medicine

authors： Wilson IB,Rogers WH,Chang H,Safran DG

更新日期：2005-08-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Thyroid ultrasound (TUS) plays an important but limited role in the evaluation of some complaints related to the thyroid gland. This study was designed to examine how primary care physicians use TUS before referring patients to an endocrine clinic. DESIGN:We audited all charts of first-time r...

journal_title：Journal of general internal medicine

authors： Liel Y,Fraenkel N

更新日期：2005-08-01 00:00:00

abstract：BACKGROUND:Access to health care varies according to a person's race and ethnicity. Delaying treatment is one measure of access with important health consequences. OBJECTIVE:Determine whether perceptions of unfair treatment because of race or ethnicity are associated with reported treatment delays, controlling for eco...

journal_title：Journal of general internal medicine

authors： Van Houtven CH,Voils CI,Oddone EZ,Weinfurt KP,Friedman JY,Schulman KA,Bosworth HB

更新日期：2005-07-01 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：: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

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

更新日期：2005-06-01 00:00:00

abstract：OBJECTIVE:To examine suicidal behavior and depression prevalence among a group of Medicare patients under age 65 with functional impairment and recent significant health care services use. DESIGN:An observational study of baseline characteristics of participants in a randomized controlled trial. SETTING:A Medicare de...

journal_title：Journal of general internal medicine

authors： Friedman B,Conwell Y,Delavan RR,Wamsley BR,Eggert GM

更新日期：2005-05-01 00:00:00

abstract：OBJECTIVE:This study explores the alignment between physicians' confidence in their diagnoses and the "correctness" of these diagnoses, as a function of clinical experience, and whether subjects were prone to over-or underconfidence. DESIGN:Prospective, counterbalanced experimental design. SETTING:Laboratory study co...

journal_title：Journal of general internal medicine

authors： Friedman CP,Gatti GG,Franz TM,Murphy GC,Wolf FM,Heckerling PS,Fine PL,Miller TM,Elstein AS

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:Racial and ethnic minority groups have lower levels of leisure-time physical activity (LTPA) than whites, but it is unclear how much of this is explained by differences in socioeconomic status and health. OBJECTIVE:To examine differences in LTPA, work-related physical activity (WRPA; heavy household chores ...

journal_title：Journal of general internal medicine

authors： He XZ,Baker DW

更新日期：2005-03-01 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：OBJECTIVE:To compare the ability of 3 brief alcohol screens (Alcohol Use Disorders Identification Test [AUDIT], CRAFFT, and CAGE) to identify adolescents and young adults with a current alcohol use disorder (AUD) and to determine whether there are gender-based or race-based differences in screening performance. DESIGN...

journal_title：Journal of general internal medicine

authors： Cook RL,Chung T,Kelly TM,Clark DB

更新日期：2005-01-01 00:00:00