Challenges and Opportunities in Big Data Science to Address Health Inequities and Focus the HIV Response.

Purpose Of Review: Big Data Science can be used to pragmatically guide the allocation of resources within the context of national HIV programs and inform priorities for intervention. In this review, we discuss the importance of grounding Big Data Science in the principles of equity and social justice to optimize the efficiency and effectiveness of the global HIV response.

Recent Findings: Social, ethical, and legal considerations of Big Data Science have been identified in the context of HIV research.

Republished original article: Resident-initiated interventions to improve inpatient heart-failure management.

Background: Third-year internal medicine residents participating in a quality improvement rotation identified gaps between the Joint Commission's ORYX quality guidelines and clinical practices for the inpatient management of heart failure (HF) at the William S. Middleton Memorial Veterans Hospital. Residents focused on the performance metrics associated with tobacco-cessation counselling documentation, ejection fraction assessment and angiotensin-converting enzyme inhibitor/angiotensin receptor blocker prescriptions.

Resident-initiated interventions to improve inpatient heart-failure management.

Background: Third-year internal medicine residents participating in a quality improvement rotation identified gaps between the Joint Commission's ORYX quality guidelines and clinical practices for the inpatient management of heart failure (HF) at the William S. Middleton Memorial Veterans Hospital. Residents focused on the performance metrics associated with tobacco-cessation counselling documentation, ejection fraction assessment and angiotensin-converting enzyme inhibitor/angiotensin receptor blocker prescriptions.

Evidence-based medicine training during residency: a randomized controlled trial of efficacy.

Background: Evidence-based medicine (EBM) has been widely integrated into residency curricula, although results of randomized controlled trials and long term outcomes of EBM educational interventions are lacking. We sought to determine if an EBM workshop improved internal medicine residents' EBM knowledge and skills and use of secondary evidence resources.

Methods: This randomized controlled trial included 48 internal medicine residents at an academic medical center.

Creating champions for health care quality and safety.

Patient safety and quality of care are public concerns that demand personal responsibility at all levels of the health care organization. Senior residents in our graduate medical education program took responsibility for a capstone quality improvement project designed to transform them into champions for health care quality. Residents (n = 26) participated alone or in pairs in a 1-month faculty-mentored rotation at the Veterans Administration Hospital during the 2007-2008 academic year.

Resident self-assessment and self-reflection: University of Wisconsin-Madison's Five-Year Study.

Background: Chart review represents a critical cornerstone for practice-based learning and improvement in our internal medicine residency program.

Objective: To document residents' performance monitoring and improvement skills in their continuity clinics, their satisfaction with practice-based learning and improvement, and their ability to self-reflect on their performance.

Design: Retrospective longitudinal design with repeated measures.