Tag Archives: Journal of General Internal Medicine

“Block” Ambulatory Schedules For Residents Have Advantages And Disadvantages

Two articles discuss new ways of scheduling continuity clinic for internal medicine residents.  Both systems keep residents completely out of their continuity clinic during their inpatient rotations, and increase the total number of hours spent in clinic.  Comparisons were made … Continue reading

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Verbal And Electronic Signouts May Improve Patient Handoffs

Authors report the results of a before/after study where a face-to-face verbal sign out was implemented along with a change in the electronic sign out template that included cues for appropriate content. The authors found improved resident satisfaction in the … Continue reading

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Interns Spend Even Less Time With Their Patients

This fascinating time-motion study of interns is compared with results from a similar study in 1989.  Despite the fact that current interns spent much less time in the hospital, the percentage of time spent directly with patients decreased from about … Continue reading

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10-12 Evaluations Are Needed To Reliably Assess Handoff Skills

Authors report the feasibility and psychometric properties of a new instrument to assess handoff skills using an iPAD app. The assessment tool was developed based on review of published instruments and recommended best practices. The results of this pilot study … Continue reading

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Medical Students Are Participating In Handoffs, Too.

Authors report results of a survey regarding medical students’ experience with handoffs during their third year clerkships (79% response rate). Overall, 58% of students reported participating in handoffs, such as updating a written signout. Of note, 98% reported witnessing an … Continue reading

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The Secret To Effective Bedside Rounds: Good Teachers Prepare

In a qualitative study of highly rated teaching attendings from 10 US medical schools, preparation was key to conducting effective bedside rounds. Good teachers planned ahead to address several specific components of effective bedside rounds, including: 1. getting trainee buy-in … Continue reading

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Gender Does Not Affect Medical Students’ Decisions About The Severity Of Unprofessional Behavior

In this reassuring survey study of vignettes of potentially unprofessional behavior, neither the gender of the medical student evaluating the vignette, nor the gender of the “actor” in the vignettes, had a substantial effect on the students’ evaluations of the … Continue reading

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