Internal medicine training in the inpatient setting
Journal of General Internal MedicinePublished 1 December 2005Open access
Lorenzo Di Francesco, Michael J. Pistoria, Andrew D. Auerbach, Robert J. Nardino, Eric S. Holmboe
Citations18
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The paucity of high quality research in the internal medicine inpatient setting highlights the urgent need to formally define and study what constitutes an effective “core” inpatient curriculum.
Abstract
This review identifies significant gaps in our understanding of what constitutes effective inpatient education. The paucity of high quality research in the internal medicine inpatient setting highlights the urgent need to formally define and study what constitutes an effective "core" inpatient curriculum.
Keywords
Medicine
JAMANew Requirements for Resident Duty Hours
520 Citations2002Ingrid Philibert
A systematic review of the effectiveness of critical appraisal skills training for clinicians and the impact of an evidence-based medicine curriculum based on adult learning theory on students' reading habits and knowledge is presented.
Journal of General Internal MedicineTeaching the one-minute preceptor
214 Citations2001Scott L. Furney, Alex N. Orsini +4 more
The One-Minute Preceptor model of faculty development is used widely to improve teaching, but its effect on teaching behavior has not been assessed and provides modest improvements in residents’ teaching skills.
JAMAPreparedness for Clinical Practice
199 Citations2001David Blumenthal, Manjusha Gokhale +2 more
Overall, residents in their last year of training at academic health centers rate their clinical preparedness as high, however, opportunities for improvement exist in preparing residents for clinical practice.
JAMAPreparedness for Practice
178 Citations1993Joel C. Cantor
Young physicians generally confirm critiques of medical training noted by scholars and commissions, and health care reform is likely to increase the urgency for remedial action.
Teaching and Learning in MedicineEffectiveness of a Cardiology Review Course for Internal Medicine Residents Using Simulation Technology and Deliberate Practice
135 Citations2002S. Barry Issenberg, William C. McGaghie +5 more
Educational interventions using simulation technology that engage learners in deliberate practice of clinical skills produce large improvements in a relatively short time, with little faculty involvement.
Journal of General Internal MedicineThe future of general internal medicine
113 Citations2004Eric B. Larson, Stephan D. Fihn +8 more
Current financing of physician services, especially fee-for-service, must be changed to recognize the value of services performed outside the traditional face-to-face visit and give practitioners incentives to improve quality and efficiency, and provide comprehensive, ongoing care.
JAMAPreparedness of Internal Medicine and Family Practice Residents for Treating Common Conditions
110 Citations2002Francine C. Wiest
Differences in preparedness to manage common adult conditions between internal medicine and FP residents were consistent with the emphasis on an inpatient setting for IM residents and on office-based care for FP residents.
Journal of Palliative MedicinePalliative Care Education: An Intervention to Improve Medical Residents' Knowledge and Attitudes
100 Citations2003Stacy M. Fischer, Wendolyn S. Gozansky +3 more
Baseline anxiety levels were high while knowledge scores were poor, providing a strong argument for continued research for an effective curriculum for end-of-life education, perhaps focusing on clinical rather than didactic experiences in palliative care.
JAMATeaching the Resident in Internal Medicine
72 Citations1986Stewart W. Shankel
There appears to be a trend to move clinical teaching from bedside to conference room, and questionnaires on composition of teaching services and management of rounds including resident, patient care, attending, and teaching rounds were sent to 463 medicine residency programs.
Journal of General Internal MedicineThe positive impact of initiation of hospitalist clinician educators
69 Citations2004Mark Kulaga, Pamela Charney +5 more
Hospitalist clinician educators as inpatient teaching attendings effectively reduce length of stay and resource utilization while improving resident education at community-based teaching hospitals 1 year after implementation.
Academic MedicineThe effect of a teaching skills course on internsʼ and studentsʼ evaluations of their resident–teachers
63 Citations1999Joyce E. Wipf, Jay D. Orlander +1 more
A six-hour teaching skills course significantly improved residents' teacher ratings and should be part of required curricula for all residency programs.
Annals of Internal MedicineGuideline-based Consultation To Prevent Anticoagulant-related Bleeding
56 Citations1992C. Seth Landefeld, Philip A. Anderson
Guidelines-based consultation was associated with reduction in the frequency of anticoagulant-related bleeding in patients at increased risk for major in-hospital bleeding and improved housestaff learning.
JAMAThe quality of mercy. Caring for patients with 'do not resuscitate' orders
51 Citations1992Daniel P. Sulmasy
Journal of General Internal MedicineEffects of an inpatient geriatrics rotation on internal medicine residents’ knowledge and attitudes
45 Citations1996Michael Lindberg, Gail M. Sullivan
An intensive integrated acute medicine rotation in geriatrics improved residents’ knowledge of geriatric medicine and their geriatrics education were generally positive and were not influenced by this experience.
JAMAThe Quality of Mercy
38 Citations1992Daniel P. Sulmasy
An extensive ethics education intervention can improve care for DNR patients, especially with respect to CCCs, and these results have implications for the design and implementation of ethics education programs.
BMC Medical EducationThe development and implementation of a curriculum to improve clinicians' self-directed learning skills: a pilot project
28 Citations2003Dawn M. Bravata, Stephen J. Huot +3 more
A four-week curriculum to teach physicians self-directed learning skills during inpatient ward rotations to improve self-directed learning skills may improve self-directed learning skills.
Journal of General Internal MedicineEffects of a postdischarge clinic on housestaff satisfaction and utilization of hospital services
20 Citations1996Susan J. Diem, Allan V. Prochazka +2 more
It is concluded that a postdischarge clinic can improve resident education and reduce postdis discharge emergency room utilization.
Academic MedicineChanges in the educational value of inpatients at a major teaching hospital
16 Citations1989Richard A. Davidson
Findings support the hypothesis that changes in patient populations resulting from recent economic changes may have diminished the educational value of medical inpatients in academic settings.
The American Journal of MedicineShifting patients: how residency programs respond to residency review committee requirements
14 Citations2003Julie A Morelock, David Stern
The American Journal of MedicineChanging patterns of disease on an inpatient medical service: 1961–1962 to 1981–1982
13 Citations1987John F. Steiner, Lawrence E. Feinberg +2 more
Over time, length of stay and mortality rates decreased and acuteness of illness increased, whereas age, chronicity, and co-morbidity remained constant; changes in the prevalence of some common diseases reflected evolving medical and social influences on hospital use.
Academic MedicineIntroducing case management to a general medicine ward team of a teaching hospital
8 Citations1997Chittur A. Sivaram, S Attebery +5 more
In this study a case-management program was effectively implemented in a teaching hospital, resulting in reduced lengths of stay for patients, and case management should be seriously considered as a way to deal with such issues.
Southern Medical JournalCost Effectiveness in an Internal Medicine Residency Program
7 Citations1982S Hamburger
Methods used to effect this reduction included distribution of a cost booklet, daily patient chart review, use of itemized patient bills, elimination of routine admission tests and standing orders, and use of a “why” philosophy instead of a "why not" philosophy.
General Hospital PsychiatryEffect of inpatient psychiatry training on internal medicine residents
4 Citations1990Steven M. Juergens, Jeffrey D. Rome +1 more
Residents noted a significant increase in their confidence regarding the management of various psychiatric problems and personality problems, the conducting of supportive counseling, the making of psychiatric referrals, the usefulness of psychotherapy, and the ability to discuss emotionally difficult subjects with patients.
Academic MedicineUsing the Federated Council for Internal Medicine Curricular Guide and Administrative Codes to Assess IM Residents’ Breadth of Experience
4 Citations2004George Hripcsak, Peter D. Stetson +1 more
Although the number of patients cared for was correlated with breadth of experience, the effect was small and the majority of competencies via direct patient care, but no residents achieved full coverage.