Publications by authors named "Henry J Schultz"

Background: Little is known about the timing and stability of internal medicine resident career decisions during the course of residency training.

Objective: To assess changes in reported career plans among internal medicine trainees during their training.

Design: Observational cohort using data collected as part of the annual Internal Medicine In-Training Examination (IM-ITE) survey.

View Article and Find Full Text PDF

Background: Evidence-based medicine (EBM) is a required component of the Accreditation Council for Graduate Medical Education's Practice-Based Learning core competency.

Purpose: To compare the efficacy of conferences and small-group discussions in enhancing EBM competency.

Methods: EBM conferences and small-group discussions were integrated into an internal medicine curriculum.

View Article and Find Full Text PDF

Objective: To determine the feasibility, efficacy, and outcomes of teaching Internal Jugular (IJ) central venous line placement (CVLP) to internal medicine residents in a hands-on training experience with adult patients.

Subjects And Methods: Data were obtained from 47 residents during their 3-year residency program through questionnaires and a proprietary system that tracks resident procedures. Twenty-five postgraduate year (PGY) 2 residents at the Mayo Clinic in Rochester, Minn, were assigned to IJ-CVLP training in the cardiac catheterization laboratory from January 2001 to June 2001.

View Article and Find Full Text PDF

Objective: To accurately model residents' work hours and assess options to forthrightly meet Residency Review Committee-Internal Medicine (RRC-IM) requirements.

Description: The requirements limiting residents' work hours are clearly defined by the Accreditation Council for Graduate Medical Education (ACGME) and the RRC-IM: "When averaged over any four-week rotation or assignment, residents must not spend more than 80 hours per week in patient care duties."(1) The call for the profession to realistically address work-hours violations is of paramount importance.

View Article and Find Full Text PDF

Purpose: The Accreditation Council for Graduate Medical Education and the Residency Review Committee for Internal Medicine (RRC-IM) evaluate internal medicine residency programs using a list of 301 program requirements. The authors investigated which requirements, program demographics, and site-visitor characteristics were the strongest predictors of accreditation.

Method: The authors surveyed the program directors of all 405 accredited internal medicine residency programs in February 1998, obtaining data on the duration of the accreditation process, site visitors, and number and quality of citations.

View Article and Find Full Text PDF