Primary Care Provider Preferences for Communication with Inpatient Teams: One Size Does Not Fit All

Lawrence, David M.; Shah, Aarti; Lee, Elizabeth K.; Conway, Sarah J.; Ramkumar, Mukund; James, Hailey J.; Queale, William S.; Keller, Sara C.; Biddison, E. Lee Daugherty; Gregg, Peter; Ashar, Bimal H.; Desai, Sanjay V.; Brotman, Daniel J.; Berry, Stephen

doi:10.12788/jhm.2874

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…First, we used a non-validated survey, and the survey response rate of 24% could result in nonresponse bias, although this response rate is comparable to similar previous studies. 17 , 18 The nature of a survey study may have introduced selection bias, and responders may have been more engaged stakeholders in the communication process and thus may have differed in opinions, experiences, or characteristics from non-participants. Our survey was administered to help guide local improvement efforts, and the generalizability of the results may be limited by the fact that all pediatricians included in our study were part of one large geographical area, and the hospitalists were all from a single practice group.…”

Section: Discussionmentioning

confidence: 99%

Incorporating the Voice of Community Based Pediatricians to Improve Discharge Communication

Weiss

Cooley

Orenstein

et al. 2020

Pediatric Quality &Amp; Safety

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Section: Discussionmentioning

confidence: 99%

Incorporating the Voice of Community Based Pediatricians to Improve Discharge Communication

Weiss

Cooley

Orenstein

et al. 2020

Pediatric Quality &Amp; Safety

View full text Add to dashboard Cite

show abstract

Bibliography

2021

The Digital Pill: What Everyone Should Know About the Future of Our Healthcare System

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Online team-based electrocardiogram training in Haiti: evidence from the field

Dawson¹,

Haynes

Robert³

et al. 2022

BMC Med Educ

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Background The electrocardiogram (ECG) is the most relied upon tool for cardiovascular diagnosis, especially in low-resource settings because of its low cost and straightforward usability. It is imperative that internal medicine (IM) and emergency medicine (EM) specialists are competent in ECG interpretation. Our study was designed to improve proficiency in ECG interpretation through a competition among IM and EM residents at a teaching hospital in rural central Haiti in which over 40% of all admissions are due to CVD. Methodology The 33 participants included 17 EM residents and 16 IM residents from each residency year at the Hôpital Universitaire de Mirebalais (HUM). Residents were divided into 11 groups of 3 participants with a representative from each residency year and were given team-based online ECG quizzes to complete weekly. The format included 56 ECG cases distributed over 11 weeks, and each case had a pre-specified number of points based on abnormal findings and complexity. All ECG cases represented cardiovascular pathology in Haiti adapted from the Association of Program Directors in Internal Medicine evaluation list. The main intervention was sharing group performance and ECG solutions to all participants each week to promote competition and self-study without specific feedback or discussion by experts. To assess impact, pre- and post-intervention assessments measuring content knowledge and comfort for each participant were performed. Results Overall group participation was heterogeneous with groups participating a median of 54.5% of the weeks (range 0–100%). 22 residents completed the pre- and post-test assessments. The mean pre- and post-intervention assessment knowledge scores improved from 27.3% to 41.7% (p = 0.004). 70% of participants improved their test scores. The proportion of participants who reported comfort with ECG interpretation increased from 57.6% to 66.7% (p = 0.015). Conclusion This study demonstrates improvement in ECG interpretation through a team-based, asynchronous ECG competition approach. This method is easily scalable and could help to fill gaps in ECG learning. This approach can be delivered to other hospitals both in and outside Haiti. Further adaptations are needed to improve weekly group participation.

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Primary Care Provider Preferences for Communication with Inpatient Teams: One Size Does Not Fit All

Cited by 3 publications

References 7 publications

Incorporating the Voice of Community Based Pediatricians to Improve Discharge Communication

Incorporating the Voice of Community Based Pediatricians to Improve Discharge Communication

Bibliography

Online team-based electrocardiogram training in Haiti: evidence from the field

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