Beyond the Exam Room: Teaching Intervisit Care to Internal Medicine Residents.

Introduction: Intervisit care, asynchronous care provided between patient visits, represents an essential part of patient care. Despite the importance of intervisit care, residency programs have not traditionally taught residents how to effectively manage intervisit care within the formal curriculum. We aimed to improve resident preparedness in providing intervisit care with an intervisit workshop.

Association of Gender and Race/Ethnicity with Internal Medicine In-Training Examination Performance in Graduate Medical Education.

Background: Disparities in objective assessments in graduate medical education such as the In-Training Examination (ITE) that disadvantage women and those self-identifying with race/ethnicities underrepresented in medicine (URiM) are of concern.

Objective: Examine ITE trends longitudinally across post-graduate year (PGY) with gender and race/ethnicity.

Design: Longitudinal analysis of resident ITE metrics at 7 internal medicine residency programs, 2014-2019.

What Women Need: a Study of Institutional Factors and Women Faculty's Intent to Remain in Academic Medicine.

Background: A longstanding gender gap exists in the retention of women in academic medicine. Several strategies have been suggested to promote the retention of women, but there are limited data on impacts of interventions.

Objective: To identify what institutional factors, if any, impact women faculty's intent to remain in academic medicine, either at their institutions or elsewhere.

Training Residents in Virtual Advance Care Planning: A New Twist in Telehealth.

Context: Advance care planning (ACP) conversations represent an important physician skill, a need further highlighted by the COVID-19 pandemic. Most resident ACP training occurs in inpatient, settings, often featuring goals of care (GOC) conversations during a crisis. Outpatient clinics are valuable but underutilized settings to provide skills training for residents, yet little research has been done in these spaces.

Regional variation in human papillomavirus vaccination uptake and completion among adolescents 13-17 in the state of Texas.

Background: HPV vaccination rates remain low in the United States despite efforts to increase them, although rates vary geographically both at the state and regional level within the United States. This study examines differences in teen HPV vaccination rates and associated sociodemographic factors among six regions in Texas to understand potential variation insmaller regions. These differences may inform planning of local public health interventions aimed at increasing vaccination uptake in teens.

A Novel, Web-Based Quality Improvement Platform to Address ACGME CLER Requirements.

Background: In 2014, the Accreditation Council for Graduate Medical Education (ACGME) formally mandated trainee (resident and fellow) participation in health care quality improvement (QI) projects as one of the Clinical Learning Environment Review (CLER) Pathways to Excellence. Subsequent national reviews showed large variations in how QI education is conducted, as well as a significant mismatch between educational and organizational goals.

Objective: We developed a web-based platform to engage trainees in QI that better aligned with best practice methodology and matched identified institutional priorities.

A National Survey of Internal Medicine Primary Care Residency Program Directors.

Background: The United States is facing a primary care physician shortage. Internal medicine (IM) primary care residency programs have expanded substantially in the past several decades, but there is a paucity of literature on their characteristics and graduate outcomes.

Objective: We aimed to characterize the current US IM primary care residency landscape, assess graduate outcomes, and identify unique programmatic or curricular factors that may be associated with a high proportion of graduates pursuing primary care careers.

A Joint Quality Improvement and High-Value Care Curriculum in a Limited-Resource Setting.

Introduction: Since the release of the Institute of Medicine's , there has been an increased focus on quality improvement (QI). QI training is now a requirement monitored via ACGME's clinical learning environment review committees. Given the significant cost of health care waste, teaching physicians to incorporate costs and value into medical decision making is crucial.

A 29-year-old man with an unusual cause of an abscess.

A 29-year-old man with no medical history presented with a left scalp abscess and left temporal oedema. He was initially started on treatment for community acquired Methicillin-resistant Staphylococcus aureus with sulfamethoxazole and trimethoprim. Over the next 2 weeks, his swelling improved; however, he continued to have localised swelling and drainage from the area.

Treatment preferences among problem drinkers in primary care.

Objective: Alcohol misuse is common among primary care patients, yet many do not receive treatment because doctors believe problem drinkers are "in denial," or are unwilling to change their drinking habits. The real problem, however, may be that patients are being offered treatment modalities that do not meet their needs. This study was designed to measure the acceptability of various treatment options among drinkers who were currently not receiving treatment.