abstract：:In this short story, through a challenging case where his sound diagnostic work has seemingly gone unrecognized, an internist is reminded of what is most important in clinical care. ...

journal_title：Journal of general internal medicine

authors： Baker CJ

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:Consumers may seek health advice from health food store employees (HFSEs) and pharmacists. Delays in the diagnosis of time-critical illnesses may increase the likelihood of morbidity, mortality and healthcare expenditures. OBJECTIVE:To describe the information provided by HFSEs and pharmacists for symptoms ...

journal_title：Journal of general internal medicine

authors： Kavalieratos D,Weinberger M,Rao JK

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Race differences in the receipt of invasive cardiac procedures are well-documented but the etiology remains poorly understood. OBJECTIVE:We examined how social contextual variables were related to race differences in the likelihood of receiving cardiac catheterization in a sample of veterans who were recomm...

journal_title：Journal of general internal medicine

authors： Ayotte BJ,Kressin NR

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Many opioid-dependent patients do not receive care for addiction issues when hospitalized for other medical problems. Based on 3 years of clinical practice, we report the Transitional Opioid Program (TOP) experience using hospitalization as a "reachable moment" to identify and link opioid-dependent persons t...

journal_title：Journal of general internal medicine

authors： Shanahan CW,Beers D,Alford DP,Brigandi E,Samet JH

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Chronic hepatitis B and hepatitis B-associated liver cancer is a major health disparity among Vietnamese Americans, who have a chronic hepatitis B prevalence rate of 7-14% and an incidence rate for liver cancer six times that of non-Latino whites. OBJECTIVE:Describe factors associated with hepatitis B testi...

journal_title：Journal of general internal medicine

authors： Nguyen TT,McPhee SJ,Stewart S,Gildengorin G,Zhang L,Wong C,Maxwell AE,Bastani R,Taylor VM,Chen MS Jr

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:Colorectal cancer (CRC) screening can be administered through tests with varied characteristics and is a preference-sensitive decision. OBJECTIVE:To assess patient experiences with a Maximum Differences Scaling (MDS) tool for eliciting values about CRC screening test characteristics and determine whether pa...

journal_title：Journal of general internal medicine

authors： Imaeda A,Bender D,Fraenkel L

更新日期：2010-07-01 00:00:00

abstract：:Reflective capacity has been described as an essential characteristic of professionally competent clinical practice, core to ACGME competencies. Reflection has been recently linked to promoting effective use of feedback in medical education and associated with improved diagnostic accuracy, suggesting promising outcome...

journal_title：Journal of general internal medicine

authors： Wald HS,Reis SP

更新日期：2010-07-01 00:00:00

abstract：:The purpose of this paper is to address why the three dominant alternatives to compensating physicians (fee-for-service, capitation, and salary) fall short of what is needed to support enhanced primary care in the patient-centered medical home, and the relevance of such payment reforms as pay-for-performance and episo...

journal_title：Journal of general internal medicine

authors： Berenson RA,Rich EC

更新日期：2010-06-01 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:Enhancing the cultural competency of students is emerging as a key issue in medical education; however, students may perceive that they are more able to function within cross-cultural situations than their teachers, reducing the effectiveness of cultural competency educational efforts. OBJECTIVE:The purpose...

journal_title：Journal of general internal medicine

authors： Thompson BM,Haidet P,Casanova R,Vivo RP,Gomez AG,Brown AF,Richter RA,Crandall SJ

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:In 2000 a diverse group of clinicians/educators at an inner-city safety-net hospital identified relational skills to reduce disparities at the point of care. DESCRIPTION:The resulting interviewing and precepting model helps build trust with patients as well as with learners. RESPECT adds attention to the re...

journal_title：Journal of general internal medicine

authors： Mostow C,Crosson J,Gordon S,Chapman S,Gonzalez P,Hardt E,Delgado L,James T,David M

更新日期：2010-05-01 00:00:00

abstract：PURPOSE:Studies show that measures of physician and medical students' empathy decline with clinical training. Presently, there are limited data relating self-reported measures to observed behavior. This study explores a self-reported measure and observed empathy in medical students. METHOD:Students in the Class of 200...

journal_title：Journal of general internal medicine

authors： Chen DC,Pahilan ME,Orlander JD

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:Mentorship is perceived to play a significant role in the career development and productivity of academic clinicians, but little is known about the characteristics of mentorship. This knowledge would be useful for those developing mentorship programs. OBJECTIVE:To complete a systematic review of the qualita...

journal_title：Journal of general internal medicine

authors： Sambunjak D,Straus SE,Marusic A

更新日期：2010-01-01 00:00:00

abstract：OBJECTIVE:The Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) seeks to develop partnerships between VA health services researchers and clinical managers, with the goal of designing and evaluating interventions to improve the quality of VA health care. METHODS:In the present report we describe one...

journal_title：Journal of general internal medicine

authors： Jackson GL,Powell AA,Ordin DL,Schlosser JE,Murawsky J,Hersh J,Ponte G,Zullig LL,Erb F,Parlier R,Haggstrom DA,Koets N,Mills PD,Francis J,Kelley MJ,Davies ML,Provenzale D,VA Colorectal Cancer Care Planning Committee Membe

更新日期：2010-01-01 00:00:00

abstract：INTRODUCTION:Most residents have limited education or exposure to health policy during residency. AIMS:We developed a course to (1) educate residents on health policy topics applicable to daily physician practice; (2) expose residents to health policy careers through visits with policy makers and analysts; (3) promote...

journal_title：Journal of general internal medicine

authors： Greysen SR,Wassermann T,Payne P,Mullan F

更新日期：2009-12-01 00:00:00

abstract：INTRODUCTION:Obesity stigma is common in our society, and a general stigma towards obesity has also been documented in physicians. We hypothesized that physician respect for patients would be lower in patients with higher body mass index (BMI). METHODS:We analyzed data from the baseline visit of 40 physicians and 238 ...

journal_title：Journal of general internal medicine

authors： Huizinga MM,Cooper LA,Bleich SN,Clark JM,Beach MC

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:Disparities can be caused by minorities receiving care in low-quality settings. The patient-centered medical home (PCMH) has been identified as a model of high-quality primary care that can eliminate disparities. However, Latinos are less likely to have PCMHs. OBJECTIVE:To identify Latino subgroup variation...

journal_title：Journal of general internal medicine

authors： Beal A,Hernandez S,Doty M

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:A significant barrier to communication among patient care providers in hospitals is the geographic dispersion of team members. OBJECTIVE:To determine whether localizing physicians to specific patient care units improves nurse-physician communication and agreement on patients' plans of care. METHODS:We cond...

journal_title：Journal of general internal medicine

authors： O'Leary KJ,Wayne DB,Landler MP,Kulkarni N,Haviley C,Hahn KJ,Jeon J,Englert KM,Williams MV

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:Sexual dysfunction is an important issue that affects many cancer survivors who are increasingly being cared for by internists. OBJECTIVE:To examine the attitudes and reported practices of internists regarding survivorship care as it pertains to sexual dysfunction. DESIGN:Surveys were sent to 406 physician...

journal_title：Journal of general internal medicine

authors： Park ER,Bober SL,Campbell EG,Recklitis CJ,Kutner JS,Diller L

更新日期：2009-11-01 00:00:00

abstract：:Increasingly, oncology practitioners are realizing that despite the "success" of cancer therapies, cancer survivors are facing previously unrecognized issues related to survivorship, including physical and psychosocial side-effects of the cancer and its treatment, second cancers, and practical and economic issues rela...

journal_title：Journal of general internal medicine

authors： Gusani NJ,Schubart JR,Wise J,Farace E,Green MJ,Jiang Y,Kimchi ET,Staveley-O'Carroll KF

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:Racial disparities in hypertension control contribute to higher rates of cardiovascular mortality among blacks. Patient-physician communication quality is associated with better health outcomes, including blood pressure (BP) control. Both race/ethnicity and BP control may adversely affect communication. OBJ...

journal_title：Journal of general internal medicine

authors： Cené CW,Roter D,Carson KA,Miller ER 3rd,Cooper LA

更新日期：2009-09-01 00:00:00

abstract：BACKGROUND:Opioid-dependent patients often have co-occurring chronic illnesses requiring medications that interact with methadone. Methadone maintenance treatment (MMT) is typically provided separately from medical care. Hence, coordination of medical care and substance use treatment is important to preserve patient sa...

journal_title：Journal of general internal medicine

authors： Walley AY,Farrar D,Cheng DM,Alford DP,Samet JH

更新日期：2009-09-01 00:00:00

abstract：BACKGROUND:The Centers for Medicare & Medicaid Services (CMS)/Premier Hospital Quality Incentive Demonstration (HQID) project aims to improve clinical performance through a pay-for-performance program. We conducted this study to identify the key organizational factors associated with higher performance. METHODS:An inv...

journal_title：Journal of general internal medicine

authors： Vina ER,Rhew DC,Weingarten SR,Weingarten JB,Chang JT

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Experts suggest an individualized approach to colon cancer screening to take into account variation in older adults' life expectancies and potential to benefit from screening. However, little is known about how physicians make decisions about colon cancer screening in adults age 75 and older. OBJECTIVE:To u...

journal_title：Journal of general internal medicine

authors： Lewis CL,Griffith J,Pignone MP,Golin C

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:The many challenges in health care today create a special need for great leadership. However, traditional criteria for physicians' advancement to leadership positions often regard academic and/or clinical accomplishments rather than the distinctive competencies needed to lead. Furthermore, physicians' traini...

journal_title：Journal of general internal medicine

authors： Stoller JK

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Many American Indian and Alaska Native veterans are eligible for healthcare from Veterans Health Administration (VHA) and from Indian Health Service (IHS). These organizations executed a Memorandum of Understanding in 2003 to share resources, but little was known about how they collaborated to deliver health...

journal_title：Journal of general internal medicine

authors： Kramer BJ,Vivrette RL,Satter DE,Jouldjian S,McDonald LR

更新日期：2009-06-01 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：BACKGROUND:Studies using local samples suggest that racial minorities anticipate a greater preference for life-sustaining treatment when faced with a terminal illness. These studies are limited by size, representation, and insufficient exploration of sociocultural covariables. OBJECTIVE:To explore racial and ethnic di...

journal_title：Journal of general internal medicine

authors： Barnato AE,Anthony DL,Skinner J,Gallagher PM,Fisher ES

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:The Ministry of Health, Labour and Welfare of Japan has been promoting participation in scholarly activities for physicians during residency training. However, there is debate regarding whether this is worthwhile for residents. OBJECTIVE:To evaluate residents' opinions of engaging in scholarly activities an...

journal_title：Journal of general internal medicine

authors： Takahashi O,Ohde S,Jacobs JL,Tokuda Y,Omata F,Fukui T

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:A lower proportion of patients with chronic heart failure receive palliative care compared to patients with advanced cancer. OBJECTIVE:We examined the relative need for palliative care in the two conditions by comparing symptom burden, psychological well-being, and spiritual well-being in heart failure and ...

journal_title：Journal of general internal medicine

authors： Bekelman DB,Rumsfeld JS,Havranek EP,Yamashita TE,Hutt E,Gottlieb SH,Dy SM,Kutner JS

更新日期：2009-05-01 00:00:00

abstract：BACKGROUND:Genotype-guided initial warfarin dosing may reduce over-anticoagulation and serious bleeding compared to a one-dose-fits-all dosing method. OBJECTIVE:The objective of this review was to investigate the safety and efficacy of genotype-guided dosing of warfarin in reducing the occurrence of serious bleeding e...

journal_title：Journal of general internal medicine

authors： Kangelaris KN,Bent S,Nussbaum RL,Garcia DA,Tice JA

更新日期：2009-05-01 00:00:00

abstract：BACKGROUND:Obese women experience higher postmenopausal breast cancer risk, morbidity, and mortality and may be less likely to undergo mammography. OBJECTIVES:To quantify the relationship between body weight and mammography in white and black women. DATA SOURCES AND REVIEW METHODS:We identified original articles eval...

journal_title：Journal of general internal medicine

authors： Maruthur NM,Bolen S,Brancati FL,Clark JM

更新日期：2009-05-01 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：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：BACKGROUND:Deficiencies in care for cancer survivors may result from unclear roles for primary care providers (PCPs) and oncology specialists in follow-up. OBJECTIVES:To compare cancer survivors' care to non-cancer controls. DESIGN:Retrospective, longitudinal, controlled study starting 366 days post-diagnosis. SUBJE...

journal_title：Journal of general internal medicine

authors： Snyder CF,Frick KD,Peairs KS,Kantsiper ME,Herbert RJ,Blackford AL,Wolff AC,Earle CC

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:African-American women have had higher rates of female sterilization compared to white women since its emergence as a contraceptive method. The reasons underlying this observed racial difference are unknown. OBJECTIVES:The goals of this study were to (1) explore what factors shape black and white women's de...

journal_title：Journal of general internal medicine

authors： Borrero S,Nikolajski C,Rodriguez KL,Creinin MD,Arnold RM,Ibrahim SA

更新日期：2009-03-01 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：BACKGROUND:Inappropriate antibiotic use contributes to the emergence and spread of drug resistant infections. Though injection drug users are at increased risk for drug resistant infections, few studies have examined antibiotic use in this population. OBJECTIVE:To understand patterns and determinants of antibiotic use...

journal_title：Journal of general internal medicine

authors： Starrels JL,Barg FK,Metlay JP

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:Despite the availability and demonstrated effectiveness of office-based buprenorphine maintenance treatment (BMT), the systematic examination of physicians' attitudes towards this new medical practice has been largely neglected. OBJECTIVE:To identify facilitators and barriers to the potential or actual impl...

journal_title：Journal of general internal medicine

authors： Barry DT,Irwin KS,Jones ES,Becker WC,Tetrault JM,Sullivan LE,Hansen H,O'Connor PG,Schottenfeld RS,Fiellin DA

更新日期：2009-02-01 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