Exploring Ward Team Handoffs of Overnight Admissions: Key Lessons from Field Observations.

Background: The diagnostic process is a dynamic, team-based activity that is an important aspect of ward rounds in teaching hospitals. However, few studies have examined how academic ward teams operate in areas such as diagnosis in the handoff of overnight admissions during ward rounds. This study draws key lessons from team interactions in the handoff process during ward rounds.

Data Science as a Core Competency in Undergraduate Medical Education in the Age of Artificial Intelligence in Health Care.

The increasingly sophisticated and rapidly evolving application of artificial intelligence in medicine is transforming how health care is delivered, highlighting a need for current and future physicians to develop basic competency in the data science that underlies this topic. Medical educators must consider how to incorporate central concepts in data science into their core curricula to train physicians of the future. Similar to how the advent of diagnostic imaging required the physician to understand, interpret, and explain the relevant results to patients, physicians of the future should be able to explain to patients the benefits and limitations of management plans guided by artificial intelligence.

Observation tool to measure patient-centered behaviors on rounds in an academic medical center.

Objective: As part of a quality improvement project, we developed and employed an observation checklist to measure patient-centered behaviors during daily rounds to assess the frequency of patient-centered behaviors among a patient-centered care (PCC) team and standard team (ST) rounds.

Patients And Methods: On four general medicine service (GMS) teaching teams at an urban academic medical center in which housestaff rotate, we utilized an observation checklist to assess the occurrence of eight behaviors on inpatient daily rounds. The checklist covered domains of patient-centered communication, etiquette-based behaviors, and shared decision-making.

Feasibility of clinical performance assessment of medical students on a virtual sub-internship in the United States.

We aimed to determine whether it was feasible to assess medical students as they completed a virtual sub-internship. Six students (out of 31 who completed an in-person sub-internship) participated in a 2-week virtual sub-internship, caring for patients remotely. Residents and attendings assessed those 6 students in 15 domains using the same assessment measures from the in-person sub-internship.

Delivering Personalized Care at a Distance: How Telemedicine Can Foster Getting to Know the Patient as a Person.

The promise of precision medicine is based on the use of new technologies to better characterize patients by defining individuals in the areas of genomics, proteomics, metabolomics and other aspects of biologic variability. Wise application of modern technology can similarly transform health visits with patients, allowing for better characterization of the patient's individual life circumstances than possible in a traditional office visit. The use of, and experience with, telemedicine have increased significantly during the COVID-19 pandemic.

Effects on Physician Practice After Exposure to a Patient-Centered Care Curriculum During Residency.

Background: A novel patient-centered curricular experience was implemented in an internal medicine residency program in 2007. There is little published evidence that what is taught in residency affects practice after graduation.

Objective: We sought to evaluate whether graduates perceived any long-term effects of participation in this patient-centered curriculum.

The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management.

Personalized tools relevant to an individual patient's unique characteristics may be an important component of personalized health care. We randomized 97 patients hospitalized with acute decompensated heart failure to receive a printout of an ultrasound image of their inferior vena cava (IVC) with an explanation of how the image is related to their fluid status ( = 50) or to receive no image and only generic heart failure information ( = 47). Adherence to medications, low-sodium diet, and daily weight measurement at baseline and 30 days after discharge were assessed using the Medical Outcomes Study Specific Adherence Scale, modified to a three-item version for heart failure (HF), (MOSSAS-3HF, maximum score = 15, indicating adherence all of the time).

Medical students' perceptions of the patient-centredness of the learning environment.

Background: Patient-centred care is an important aspect of quality health care. The learning environment may impact medical students' adoption of patient-centred behaviours.

Methods: All medical students at a single institution received an anonymous, modified version of the Communication, Curriculum, and Culture instrument that measures patient-centredness in the training environment along three domains: role modelling, students' experience, and support for patient-centred behaviours.

Telephone calls to patients after discharge from the hospital: an important part of transitions of care.

Background: Teaching interns patient-centered communication skills, including making structured telephone calls to patients following discharge, may improve transitions of care.

Objective: To explore associations between a patient-centered care (PCC) curriculum and patients' perspectives of the quality of transitional care.

Methods: We implemented a novel PCC curriculum on one of four inpatient general medicine resident teaching teams in which interns make post-discharge telephone calls to patients, contact outpatient providers, perform medication adherence reviews, and engage in patient-centered discharge planning.

Effects of a focused patient-centered care curriculum on the experiences of internal medicine residents and their patients.

Background: Traditional residency training may not promote competencies in patient-centered care.

Aim: To improve residents' competencies in delivering patient-centered care.

Setting/participants: Internal medicine residents at a university-based teaching hospital in Baltimore, Maryland.

Major concerns about internal medicine: insights from program directors.

Objective: To better understand and characterize the challenges facing internal medicine from the perspective of internal medicine residency program directors.

Methods: In 2007, internal medicine program directors were surveyed by the Association of Program Directors in Internal Medicine (APDIM). An open-ended question asked: "What are your major concerns regarding internal medicine?" Responses to this question were independently coded by two investigators and compared for agreement.

Chest pain in a young basketball player.

A 32-year-old man was elbowed in the chest while fighting for a rebound in a recreational basketball game. He fell to the ground and his chest ached from the blow. Four days later he developed more severe chest pressure with dyspnea and came to the hospital.