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Full-Text Articles in Medicine and Health Sciences

The Science Of Learning: Why Learning Theories Matter In Graduate Medical Education, Jacklyn C. Fuller, Melissa E. Woods Aug 2021

The Science Of Learning: Why Learning Theories Matter In Graduate Medical Education, Jacklyn C. Fuller, Melissa E. Woods

HCA Healthcare Journal of Medicine

Learning theories are necessary to help inform teaching strategies and promote successful educational outcomes. Having an in-depth knowledge about learning theories and their applicability to teaching and educating healthcare professionals will help support and promote excellence in medical education. Demonstrating an understanding of effective learning theories in the classroom will benefit both educators and trainees, while supporting a collaborative mentor-mentee relationship.


The Effect Of Starting A New Residency Program On The Quality Of Care Measures At A Community Hospital: A 2-Year Follow-Up, Javad Savoj, Christine Mikhail, Napatkamon Ayutyanont, Rajesh Gulati, Remus Popa, Alina Popa Jun 2021

The Effect Of Starting A New Residency Program On The Quality Of Care Measures At A Community Hospital: A 2-Year Follow-Up, Javad Savoj, Christine Mikhail, Napatkamon Ayutyanont, Rajesh Gulati, Remus Popa, Alina Popa

HCA Healthcare Journal of Medicine

Background

Introducing graduate medical education to a non-teaching hospital has been a challenging issue due to its perceived possible negative impact on quality and cost of care.

Objective

To assess the impact of starting a new Internal Medicine (IM) residency program on the quality of care measures in a Graduate Medical Education (GME) naïve community hospital.

Methods

In a retrospective longitudinal study, we compared quality of care parameters (mortality rate, 30-day readmission rate, length of stay, case mix index and severity level) for a hospitalist group ten months before (September 2015–June 2016) and two consecutive years (July 2016–June 2018) after …


After Code Blue, Komal Kinger Apr 2021

After Code Blue, Komal Kinger

HCA Healthcare Journal of Medicine

Starting intern year comes with its own challenges and learning opportunities, especially in a pandemic. In this paper I reflect on one such situation. The code and passing of a particular patient earlier this year taught me many lessons and it has impacted the type of physician I aspire to be.


Localization Of Hand And Wrist Anatomic Structures Among Physical Medicine And Rehabilitation Residents: Implication Of Ultrasonography In Palpation Skill Verification, Se Won Lee, Phuong Uyen Le, Craig Van Dien, Stefanie Lai, Eric Aguila Apr 2021

Localization Of Hand And Wrist Anatomic Structures Among Physical Medicine And Rehabilitation Residents: Implication Of Ultrasonography In Palpation Skill Verification, Se Won Lee, Phuong Uyen Le, Craig Van Dien, Stefanie Lai, Eric Aguila

HCA Healthcare Journal of Medicine

Objective

The objective of this cross-sectional study is to evaluate the accuracy of physical medicine and rehabilitation (PM&R) resident palpation skills of hand and wrist joint and soft tissue structures using ultrasonography (US) verification.

Methods

PM&R residents palpated hand and wrist anatomic structures in an outpatient musculoskeletal (MSK) clinic. Once the presumed structures were localized, residents marked a one centimeter size circle on the overlying skin with an ink marker. The accuracy of the circle over the joint line and soft tissue structures was verified using US.

Results

Overall palpation accuracy for 16 joint line and soft tissue structures was …


Leadership, Anthony Pearson-Shaver, Evan Layton Feb 2021

Leadership, Anthony Pearson-Shaver, Evan Layton

HCA Healthcare Journal of Medicine

Though they become responsible for leading teams and supervising more junior learners early in their career, physicians receive little formal leadership training. The “see one, do one, teach one” approach to behavioral modeling and mentorship does not serve the modern young physician well. The complex nature of modern healthcare demands that physicians learn to work within the teams they will often come to lead. Within these teams, members often look to physicians to fill leadership roles. This review will examine effective leadership as defined by the business community, review attempts to incorporate leadership training into graduate medical education programs and …


The Need For Physician Leaders, Seth W. Wolk Feb 2021

The Need For Physician Leaders, Seth W. Wolk

HCA Healthcare Journal of Medicine

Almost all care in a healthcare organization flows through their physicians, who are usually viewed as the de facto leaders in almost all clinical settings. Physicians have a disproportionate impact on how care is delivered and also have a disproportionate responsibility to lead change. Effective organizational physician leaders create an environment in which their colleagues are able to successfully exercise their skills and knowledge and are convinced that their efforts contribute to improved patient care.