Background: Examining educational environment (academic and clinical) by means ofa valid, reliable and comprehensive questionnaire is a major key inachievinga highly qualified student – oriented curricula. The Persian translation of Ambulatory Care Learning Education Environment Measure-ACLEEM questionnaire has been developed to support this goal, and its psychometrics has beenexplored in this ...

Introduction. There is an obvious gap between traditional medical education and occupational expectations of medical graduates. So in order to eliminate this problem and promote students competence in clinical process, a new educational strategy, entitled “ambulatory care education (ACE)” have been suggested which is based on integration of individual clinical expertise and the medical educatio...

Most Veterans who use the Veterans Health Administration (VHA) also utilize private-sector health care providers. To better inform local and regional health care planning, we assessed the association between reliance on VHA ambulatory care and total and system-specific preventable hospitalization rates (PHRs) at the state level. We conducted a retrospective dynamic cohort study using Veterans w...

Increasing student numbers and changes in healthcare delivery are making inpatient settings less ideal for teaching undergraduate students. As the focus of healthcare provision shifts towards ambulatory care, increasing attention must now be given to developing opportunities for clinical teaching in this setting. This Education Guide describes the opportunities to be made available by introduci...

BACKGROUND Electronic health records (EHRs) have been proposed as a sustainable solution for improving the quality of medical care. We assessed the association between EHR use, as implemented, and the quality of ambulatory care in a nationally representative survey. METHODS We performed a retrospective, cross-sectional analysis of visits in the 2003 and 2004 National Ambulatory Medical Care S...

BACKGROUND It is widely acknowledged that there is need for redesign of internal medicine training. Duty hour restrictions, an increasing focus on patient safety, the possibility of inadequate training in ambulatory care, and a growing shortage of primary care physicians are some factors that fuel this redesign movement. INTERVENTION We implemented a 4∶1 scheduling template that alternates tr...

Refer to: Magarian G J, Middaugh DA, Linz DH: Hyperventilation syndrome: A diagnosis begging for recognition (Topics in Primary Care Medicine). West J Med 1983 May; 138:733-736. From Ambulatory Care and Medical Services, Veterans Administration Medical Center, and the Division of General Medicine, Department of Medicine, Oregon Health Sciences University, Portland. Supported in part by HEW gran...

OBJECTIVES To identify subsets of ambulatory care (outpatient only) quality indicators (QIs) associated with better survival and physical function outcomes. DESIGN Observational cohort study. SETTING Pooled data from the Assessing Care of Vulnerable Elders (ACOVE)-1 study, which measured quality of care using 140 care-process QIs, and the subsequent ACOVE-2 study, which reduced the QIs to 6...

BACKGROUND Improving the health of minority patients who have diabetes depends in part on improving quality and reducing disparities in ambulatory care. It has been difficult to measure these components at the level of actionable units. OBJECTIVE To measure ambulatory care quality and racial disparities in diabetes care across groups of physicians who care for populations of ambulatory diabet...