abstract：:Academic departments of family medicine and divisions of general internal medicine and general pediatrics exist in the majority of medical schools in the United States and have important roles in generalist medical education. The major organizational issues facing these units concern institutional influence, faculty d...

journal_title：Journal of general internal medicine

authors： Friedman RH,Alpert JJ,Green LA

更新日期：1994-04-01 00:00:00

abstract：OBJECTIVE:To determine whether selected socially rehabilitated former heroin addicts maintained on methadone can continue successful rehabilitation while maintained on methadone by primary care physicians rather than licensed clinics. This procedure has been termed "medical maintenance." DESIGN:Cohort study with 42-11...

journal_title：Journal of general internal medicine

authors： Novick DM,Joseph H,Salsitz EA,Kalin MF,Keefe JB,Miller EL,Richman BL

更新日期：1994-03-01 00:00:00

abstract：OBJECTIVE:To assess a new technique for the detection of free pleural fluid. DESIGN:118 consecutive inpatients with radiologic evidence of free pleural fluid and a control group of 175 randomly selected inpatients were examined over a three-year period in a prospective blind study by auscultatory percussion (AP) for e...

journal_title：Journal of general internal medicine

authors： Guarino JR,Guarino JC

更新日期：1994-02-01 00:00:00

abstract：:This study examined patient acceptance of two different advance directives. Outpatients completed the two directives and a 12-item acceptability questionnaire for each, and then stated their directive preferences. Of 128 patients enrolled, 97 (76%) responded. Overall, 47% of the respondents were satisfied with the Let...

journal_title：Journal of general internal medicine

authors： Reinders M,Singer PA

更新日期：1994-01-01 00:00:00

abstract：OBJECTIVE:To compare the efficacies and cost-effectiveness of four strategies for the management of suspected pedal osteomyelitis in the setting of vascular impairment: 1) therapeutic trial of short-term antibiotics for presumed cellulitis without osteomyelitis (short); 2) technetium bone scanning followed by either sh...

journal_title：Journal of general internal medicine

authors： Mushlin AI,Littenberg B

更新日期：1994-01-01 00:00:00

abstract：BACKGROUND:In the 27 nursing homes located within the Veterans Affairs (VA) Central Region, the proportion of residents with pressure ulcers in 1986 varied from 2% to 16%. Three of these nursing homes were selected for study: nursing home A from the highest prevalence quintile, B from close to the median, and C from th...

journal_title：Journal of general internal medicine

authors： Rudman D,Slater EJ,Richardson TJ,Mattson DE

更新日期：1993-12-01 00:00:00

abstract：OBJECTIVE:To assess the relationship between gender, background, and brief training and physicians' detection of and treatment for woman abuse. DESIGN:Quasi-experimental and correlational designs, plus control for background factors. SETTING:Two residency training programs: general internal medicine and family practi...

journal_title：Journal of general internal medicine

authors： Saunders DG,Kindy P Jr

更新日期：1993-11-01 00:00:00

abstract：:The clinical features and distinguishing characteristics of the less common causes of chronic airflow obstruction have been reviewed. Clearly, the majority of patients have cigarette-induced chronic bronchitis and/or emphysema. However, for those patients with chronic airflow obstruction who are younger than 40 years ...

journal_title：Journal of general internal medicine

authors： St John RC,Gadek JE,Pacht ER

更新日期：1993-10-01 00:00:00

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

authors： Hoffman RM,Wheeler KJ,Deyo RA

更新日期：1993-09-01 00:00:00

abstract：OBJECTIVE:1) To determine whether the frequencies of panic disorder (PD) and depression (DEP) in an emergency department (ED) population were comparable to those in other primary care groups; 2) to evaluate whether patients without the clinical diagnosis of acute cardiac ischemia (ACI) had higher frequencies of these d...

journal_title：Journal of general internal medicine

authors： Yingling KW,Wulsin LR,Arnold LM,Rouan GW

更新日期：1993-05-01 00:00:00

abstract：:Polypharmacy occurs when a medical regimen includes at least one unnecessary medication. Factors that contribute to this problem include: patient characteristics of increasing age, multiple medical problems, therapy expectations, and decisions to self-treat; physician factors such as excessive prescribing; and system ...

journal_title：Journal of general internal medicine

authors： Colley CA,Lucas LM

更新日期：1993-05-01 00:00:00

abstract：OBJECTIVE:To observe and evaluate the performance of primary care internal medicine residents within the outpatient clinic milieu. DESIGN:Longitudinal descriptive study. PATIENTS/PARTICIPANTS:48 internal medicine resident encounters with two standardized patients at the University of Wisconsin General Internal Medici...

journal_title：Journal of general internal medicine

authors： Day RP,Hewson MG,Kindy P Jr,Van Kirk J

更新日期：1993-04-01 00:00:00

abstract：:The authors surveyed 112 recent alumni and 92 current residents (70% responded) at a residency program that requires original research. Most alumni felt that the research project was a valuable learning experience, particularly in improving their abilities to critically review the medical literature. Almost a third fe...

journal_title：Journal of general internal medicine

authors： Hayward RA,Taweel F

更新日期：1993-03-01 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：:The fourth-year medicine clerkship was restructured at one of four sites. Teams consisting of one attending physician and three students cared for eight new patients per week. The overall experience of the restructured clerkship was rated significantly more positively than the experiences at all other sites and the te...

journal_title：Journal of general internal medicine

authors： Parenti CM

更新日期：1993-01-01 00:00:00

abstract：OBJECTIVES:1) To describe the prevalence of eight injury-prone behaviors (IPBs) and the associations of these behaviors with ten standard chronic disease and sociodemographic risk factors (CDSRFs) among internal medicine patients and 2) to identify a subset of patients with multiple IPBs who might be at particularly hi...

journal_title：Journal of general internal medicine

authors： Hunt DK,Lowenstein SR,Badgett RG,Marine WM,Garrett CJ,Steiner JF

更新日期：1992-11-01 00:00:00

abstract：:The authors conducted an observational study of attending rounds to determine the current status of this form of clinical teaching in a university-based internal medicine department. Using two forms of measurement, questionnaires and timed observations, we found that 63% of attending physician time was spent in the co...

journal_title：Journal of general internal medicine

authors： Miller M,Johnson B,Greene HL,Baier M,Nowlin S

更新日期：1992-11-01 00:00:00

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

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

更新日期：1992-07-01 00:00:00

abstract：OBJECTIVE:To compare the prevalence of major medical problems in homeless and nonhomeless patients. PATIENTS:All 475 persons seeking care at an ambulatory clinic serving the medically indigent for one calendar year. INTERVENTION:None. MEASUREMENTS AND MAIN RESULTS:Demographic and clinical data were collected by stru...

journal_title：Journal of general internal medicine

authors： Ferenchick GS

更新日期：1992-05-01 00:00:00

abstract：OBJECTIVE:To determine the effectiveness and costs of alternative management strategies for patients infected with the human immunodeficiency virus (HIV) who present with pulmonary symptoms. DESIGN:Decision analysis comparing initial testing (arterial blood gas analysis, induced sputum analysis, or bronchoscopy with b...

journal_title：Journal of general internal medicine

authors： Freedberg KA,Tosteson AN,Cotton DJ,Goldman L

更新日期：1992-05-01 00:00:00

abstract：OBJECTIVE:To compare the abilities of two methods for rapid detection of pyuria and three methods of urinalysis to predict significant bacteriuria in symptomatic ambulatory women. DESIGN:Prospective simultaneous comparison of the results of dipstick urinalysis, standard microscopic urinalysis, and hemocytometric cell ...

journal_title：Journal of general internal medicine

authors： Blum RN,Wright RA

更新日期：1992-03-01 00:00:00

abstract：OBJECTIVE:To determine whether the results of the Internal Medicine In-Training Examination (ITE) can predict subsequent performance on the American Board of Internal Medicine certifying examination (ABIMCE). DESIGN:Retrospective data review. SETTING:A mixture of six community hospital and university-based internal m...

journal_title：Journal of general internal medicine

authors： Grossman RS,Fincher RM,Layne RD,Seelig CB,Berkowitz LR,Levine MA

更新日期：1992-01-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the efficacy of a comprehensive, one-month psychosocial training program for first-year medical residents. DESIGN:Nonrandomized, controlled study with immediate pre/post evaluation. Limited evaluation of some residents was also conducted an average of 15 months after teaching. SETTING:Com...

journal_title：Journal of general internal medicine

authors： Smith RC,Osborn G,Hoppe RB,Lyles JS,Van Egeren L,Henry R,Sego D,Alguire P,Stoffelmayr B

更新日期：1991-11-01 00:00:00

abstract：OBJECTIVE:To compare the types and costs of drugs prescribed by resident and staff physicians treating patients with uncomplicated essential hypertension. DESIGN:Cross-sectional study, using a computer-based medical record database. SETTING:Primary care internal medicine clinic in a large teaching hospital. PATIENTS...

journal_title：Journal of general internal medicine

authors： Payne TH,Goodson JD,Morgan MM,Barnett GO

更新日期：1991-09-01 00:00:00

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

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

更新日期：1991-07-01 00:00:00

abstract：OBJECTIVE:To identify differences between patients viewed as frustrating by their physicians and those considered typical and satisfying. DESIGN:This cross-sectional observational study focused on psychologically distressed high users of medical services. Frustrating patients were compared with typical and satisfying ...

journal_title：Journal of general internal medicine

authors： Lin EH,Katon W,Von Korff M,Bush T,Lipscomb P,Russo J,Wagner E

更新日期：1991-05-01 00:00:00

abstract：OBJECTIVE:To determine whether two different educational interventions would reduce polypharmacy in outpatients receiving ten (10) or more active medications at the Denver Veterans Affairs Center. DESIGN:292 patients were randomized into three (3) groups: Control (n = 88); simple notification of primary care provider ...

journal_title：Journal of general internal medicine

authors： Meyer TJ,Van Kooten D,Marsh S,Prochazka AV

更新日期：1991-03-01 00:00:00

abstract：OBJECTIVE:To develop a patient-based classification system to describe the clinical content of ambulatory medicine practices. DESIGN:A system of 100 diagnosis clusters was developed based on retrospective review of computerized problem lists of patients from a university practice, and then applied to the problem lists...

journal_title：Journal of general internal medicine

authors： Williams BC,Philbrick JT,Becker DM,McDermott A,Davis RC,Buncher PC

更新日期：1991-01-01 00:00:00

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

authors： Volberding PA

更新日期：1991-01-01 00:00:00

abstract：OBJECTIVE:To examine the knowledge of, counseling about, and use of prior directives among patients with HIV-related disease. DESIGN:Cross-sectional survey with personal interviews that was part of the evaluation of a multi-site AIDS Health Services Program. SETTING:Outpatient clinics and AIDS community-based organiz...

journal_title：Journal of general internal medicine

authors： Teno J,Fleishman J,Brock DW,Mor V

更新日期：1990-11-01 00:00:00

abstract：OBJECTIVE:To determine whether echocardiography affects the decisions to use beta blockers or to recommend bacterial endocarditis prophylaxis in patients suspected of having mitral valve prolapse (MVP). DESIGN:Retrospective review of echocardiograms and clinical records. SETTING:Military tertiary care hospital. PATI...

journal_title：Journal of general internal medicine

authors： Olive KE,Grassman ED

更新日期：1990-11-01 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：OBJECTIVE:To assess the international health activities of departments of medicine, divisions of general medicine, and general medicine faculty and the interest among departments of medicine in joint international health ventures. DESIGN:15-item, mailed questionnaire. PARTICIPANTS:100 chiefs of divisions of general m...

journal_title：Journal of general internal medicine

authors： Einterz RM,Dittus RS,Mamlin JJ

更新日期：1990-09-01 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：:Three currently used screening methods are aimed at detecting colorectal cancer when it is asymptomatic and curable, and at detecting polyps so that they can be removed before they can progress to cancer. Digital rectal examinations are relatively cheap and easy but can detect only a small fraction of large-bowel canc...

journal_title：Journal of general internal medicine

authors： Friedman GD,Selby JV

更新日期：1990-09-01 00:00:00

abstract：:Nicotine meets all critical criteria for an addictive drug. Furthermore, there is no evidence that there would be widespread compulsive use of tobacco without nicotine. These findings have led to consideration of the cigarette as a contaminated vehicle for an addictive drug (nicotine). Nevertheless, nicotine itself ma...

journal_title：Journal of general internal medicine

authors： Cohen C,Henningfield JE

更新日期：1990-09-01 00:00:00

abstract：OBJECTIVE:To determine whether a Bayesian method of lung scan (LS) reporting could influence the management of patients with suspected pulmonary embolism (PE). DESIGN:1) A descriptive study of the diagnostic process for suspected PE using the new reporting method; 2) a non-experimental evaluation of the reporting meth...

journal_title：Journal of general internal medicine

authors： Becker DM,Philbrick JT,Schoonover FW,Teates CD

更新日期：1990-07-01 00:00:00

abstract：:The American Board of Internal Medicine suggests use of a standard form to rate residents on nine dimensions (such as clinical judgment and overall clinical competence) on a scale of 1 to 9. The authors examined the psychometric evidence for reliability and validity of 1,039 ratings of 85 residents by 135 attendings i...

journal_title：Journal of general internal medicine

authors： Thompson WG,Lipkin M Jr,Gilbert DA,Guzzo RA,Roberson L

更新日期：1990-05-01 00:00:00

abstract：:Because of the financial incentives of prepaid care, the quality of care for Medicare enrollees in Health Maintenance Organizations (HMOs) is a concern. Therefore, the care in 150 newly diagnosed cases of colorectal cancer in eight HMOs was compared with that in 180 similar fee-for-service (FFS) cases. As part of the ...

journal_title：Journal of general internal medicine

authors： Retchin SM,Brown B

更新日期：1990-03-01 00:00:00

abstract：:This paper deals with the varied sites and teachers that can and should be used in educating residents and medical students in ambulatory care. A basic premise is that sites other than academic medical centers and teachers other than physician faculty members should be among those used. The paper describes how institu...

journal_title：Journal of general internal medicine

authors： Halperin AK,Kaufman A

更新日期：1990-01-01 00:00:00