Objectives: To assess whether the organization and structure of inpatient team rounds affects medical student perception of the overall quantity and quality of teaching on an inpatient general medicine service. Methods: A pilot project to improve inpatient care was launched at the Department of Veterans Affairs Ann Arbor Healthcare System (VAAAHS). General medicine attending physicians involved...

The tendency to reject new information that contradicts prevailing norms has haunted the field of medicine, sometimes with deadly results. It took decades adopt practice handwashing between physicians’ conduct human autopsies and attending women in labor. Something similar happened art critics, says Michelle Marder Kamhi. idea fine arts are primarily representational been a bitter pill for acad...

OBJECTIVE To determine the effect of a pediatric hospitalist system on housestaff education and experience. SETTING Free-standing academic children's hospital. Hospitalists were introduced in June 24, 1998, to supervise teaching and care on the general pediatric wards. METHODS On 2 surveys, housestaff rated their skills, knowledge, and experiences on the wards (experiences survey), and the ...

OBJECTIVES To describe doctors' emotional reactions to the recent death of an "average" patient and to explore the effects of level of training on doctors' reactions. DESIGN Cross sectional study using quantitative and qualitative data. SETTING Two academic teaching hospitals in the United States. PARTICIPANTS 188 doctors (attending physicians (equivalent to UK consultants), residents (eq...

INTRODUCTION Horizontal violence (HV) is malicious behavior perpetrated by healthcare workers against each other. These include bullying, verbal or physical threats, purposeful disruptive behavior, and other malicious behaviors. This pilot study investigates the prevalence of HV among emergency department (ED) attending physicians, residents, and mid-level providers (MLPs). METHODS We sent an...

Headache is a leading cause for consultation in many patients. We compared the agreement between non-neurologist physicians and neurologists in diagnosis of the cause of headache among 19,854 patients attending the neurology clinic of Yahyanejad Hospital, Babol, from 1995 to 2004, who were first diagnosed by the non-neurologist physician. The diagnoses of the neurologists were based on Internat...

Evidence has demonstrated that the use of dynamic ultrasound guidance (USG) for central venous catheter (CVC) significantly decreases attempts, failures, and complication rates. Despite national organizations recommending the use of USG and its increasing availability, USG is used inconsistently and non-uniformly. We sought to determine if an online training module for CVC insertion with ultras...

BACKGROUND The interaction between physicians and the pharmaceutical industry influences physicians' attitudes and prescribing behavior. Although largely studied in the US, this topic has not been well studied in resource-poor settings, where a close relationship between physicians and industry still exists. OBJECTIVE To describe physician interactions with and attitudes towards the pharmaceu...

STUDY OBJECTIVE Hydronephrosis is readily visible on ultrasonography and is a strong predictor of ureteral stones, but ultrasonography is a user-dependent technology and the test characteristics of clinician-performed ultrasonography for hydronephrosis are incompletely characterized, as is the effect of ultrasound fellowship training on predictive accuracy. We seek to determine the test charact...

BACKGROUND Physicians often select clinical management strategies not strongly supported by evidence or guidelines. Our objective was to examine the likelihood of selecting, and rationale for pursuing, clinical management strategies with more or less guideline support among physicians using clinical vignettes of eight common medical admissions. METHODS We conducted a cross-sectional survey us...