| A case-based teaching module combined with audit and feedback to improve the quality of consultations. | |
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MedLine Citation:
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PMID: 19824092 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Medical consultation is an integral part of hospitalist physicians' practice, yet there is no uniform training to achieve competency in this area during residency. OBJECTIVE: To improve the quality of medical consultations performed by hospitalists in an academic medical center. DESIGN: Single group pre-post study design comparing knowledge and behaviors after exposing physicians to an educational intervention. SETTING: Johns Hopkins Bayview Medical Center, 2006-2007. PARTICIPANTS: Seven hospitalist faculty members, and 12 internal medicine house-staff members, who served on the medical consultation service during the study period. INTERVENTION: Participants were exposed to an educational intervention consisting of a case-based module teaching the principles of medical consultation, as well as audit and feedback in which they critically reviewed their most recent written consultations. MEASUREMENTS: Pretests and posttests were used to assess knowledge. Performance and physician behaviors were assessed following the intervention; consultations done by hospitalists in the months prior to the educational intervention were scored and compared to their postintervention consultations. Wilcoxon signed rank tests and paired t tests were used for the analyses. RESULTS: Improvement in the median knowledge score (pretest vs. posttest) was significant only for house-staff and not for faculty (10/14 vs. 12/14, P = 0.03 and 11/14 vs. 12/14, P = 0.08, respectively). The quality of consults written by all hospitalists improved after the educational intervention; the mean scores increased from 2.7 to 3.3 (P = 0.0006). CONCLUSIONS: This curricular intervention including audit and feedback was effective in improving the quality of medical consultations performed by hospitalist physicians. |
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Authors:
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Renee Wright; Eric Howell; Regina Landis; Scott Wright; Flora Kisuule; Myechia Minter Jordan |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of hospital medicine (Online) Volume: 4 ISSN: 1553-5606 ISO Abbreviation: - Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101271025 Medline TA: J Hosp Med Country: United States |
Other Details:
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Languages: eng Pagination: 486-9 Citation Subset: IM |
Copyright Information:
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Copyright 2009 Society of Hospital Medicine |
Affiliation:
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Collaborative Inpatient Medicine Service, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA. rwrigh22@jhmi.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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