Effects of a Focused Patient-Centered Care Curriculum on the Experiences of Internal Medicine Residents and their Patients

Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic

“…Our program focuses on the importance of Bknowing the patient as a person,^and we have previously described our curricular innovations that foster this culture. [35][36][37] Therefore, trainees in our program may have unique characteristics. Second, the cross-sectional design precludes our ability to draw conclusions regarding causal relationships between burnout and patient-reported outcome measures.…”

Implementation of 2011 Duty Hours Regulations through a Workload Reduction Strategy and Impact on Residency Training

“…Other DHR-type interventions have also found improved resident outcomes (e.g., learner satisfaction, value of rounds, and educational conferences). [18][19][20][21][22][23][24] While these should be studied at our institution, in the current study these variables have not been captured; nonetheless, we hypothesize similar findings would be identified. The ongoing, prospective iCOMPARE study will further clarify many of the questions we seek to address in this retrospective study.…”

“…Since 2007 one of our general medicine ward team's has had reduction in patient volume per trainee to accommodate a curricular innovation, effectively a WLR strategy. [19][20][21] This strategy preserved time for patientcentered care activities and care continuity, resulted in reduced heart failure 30-day readmission and all-cause mortality rates, 19 and increased resident and patient satisfaction. 17 Other training programs that reduced census caps have also seen improvements in outcomes for trainees.…”

“…17 Other training programs that reduced census caps have also seen improvements in outcomes for trainees. [18][19][20][21][22][23][24] Buoyed by our earlier success with a WLR strategy, we chose to implement a WLR approach across all general medicine inpatient house staff services to comply with 2011 DHR. Given that the optimal balance between sufficient workload to provide broad patient exposure and medical knowledge overall is unclear, we attempted to understand whether the Bnatural experimentŵ ith WLR to accommodate DHR at our institution had significant impacts on knowledge and clinical care outcomes.…”

Solving One of Graduate Medical Education's Problems: A Loss of Thoroughness

“…The Aliki residents participate in a multimodal, patientcentered care curriculum that promotes knowledge of patients as individuals, as well as the ability to improve patient transitions of care and reduce barriers to medication adherence. 6 Performing a comprehensive history and physical examination is the norm and not the exception. Spending more time with patients does not come at the expense of longer hospital stays, as the program at Brigham and Women's was associated with a significant decrease in length of stay (J. Loscalzo, MD, written communication, January 2016).…”