2024
Developing CLOUT: A Longitudinal, Cross-Program Chief Resident Curriculum to Increase Psychological Safety in the Clinical Learning Environment
Dunne D, Asnes A, Berg D, Chen A, Dewey J, Gupta S, Fernandes C, Huot S. Developing CLOUT: A Longitudinal, Cross-Program Chief Resident Curriculum to Increase Psychological Safety in the Clinical Learning Environment. Academic Medicine 2024, 99: s87-s91. PMID: 39601612, DOI: 10.1097/acm.0000000000005871.Peer-Reviewed Original ResearchConceptsClinical learning environmentLearning environmentPsychological safetyProfessional development curriculumSelf-regulation of emotionFaculty alliesIndividual self-efficacyDevelopment curriculumIncrease psychological safetyPromote psychological safetyChief residentsCurriculumCurriculum's impactSkills-based workshopInstitutional climateSelf-regulationSelf-efficacyEffective coachingEvidence of behavior changeRelationship buildingLeadership positionsWorkplace mistreatmentLongitudinal curriculumCohort modelBehavioral changes
2022
Burnout and Perception of Medical School Learning Environments Among Gay, Lesbian, and Bisexual Medical Students
Ryus CR, Samuels EA, Wong AH, Hill KA, Huot S, Boatright D. Burnout and Perception of Medical School Learning Environments Among Gay, Lesbian, and Bisexual Medical Students. JAMA Network Open 2022, 5: e229596. PMID: 35486396, PMCID: PMC9055452, DOI: 10.1001/jamanetworkopen.2022.9596.Peer-Reviewed Original ResearchConceptsMedical school learning environmentSchool learning environmentLearning environmentSM studentsStudents' perceptionsMedical studentsLesbian studentsBisexual studentsHeterosexual studentsAllopathic US medical schoolsMedical students' perceptionsMedical school environmentAAMC Graduation QuestionnaireUS medical schoolsFavorable perceptionsAmerican Medical CollegesGraduation QuestionnaireSchool environmentMedical schoolsStudentsOldenburg Burnout InventoryHigh burnout symptomsMedical CollegePerceptionBurnout symptoms
2020
Hypertensive Urgency: An Emergency Department Pipeline to Primary Care Pilot Study
Giaimo AA, Kang AJ, Huot SJ. Hypertensive Urgency: An Emergency Department Pipeline to Primary Care Pilot Study. American Journal Of Hypertension 2020, 34: 291-295. PMID: 33216142, DOI: 10.1093/ajh/hpaa190.Peer-Reviewed Original ResearchConceptsHypertensive urgencyED utilizationED visitsEmergency departmentED patientsPilot studyACC/AHA hypertension guidelinesPrimary care pilot studyAtherosclerotic cardiovascular disease riskCare pilot studyTotal ED visitsBlood pressure controlCardiovascular disease riskPrimary care physiciansPrimary care practicesBP controlReferral coordinatorHypertension guidelinesClinic visitsHTN managementMean BPTreatment initiationCare physiciansMean ageVisit 1
2009
The Association of Faculty and Residents’ Gender on Faculty Evaluations of Internal Medicine Residents in 16 Residencies
Holmboe ES, Huot SJ, Brienza RS, Hawkins RE. The Association of Faculty and Residents’ Gender on Faculty Evaluations of Internal Medicine Residents in 16 Residencies. Academic Medicine 2009, 84: 381-384. PMID: 19240452, DOI: 10.1097/acm.0b013e3181971c6d.Peer-Reviewed Original ResearchConceptsSpecific clinical skillsPhysical examinationClinical skillsClinical performanceResident genderInternal medicine residency programsInternal medicine residentsAssociation of FacultiesMedicine residency programsResidents' clinical performanceRandom effects regression analysisMedicine residentsSignificant differencesRegression analysisResidency programsGlobal evaluationRatings of womenMedical interviewingGenderCounselingExaminationAssociationCurrent eraStudy translatePrevious studies
2007
Medicine Residents' Understanding of the Biostatistics and Results in the Medical Literature
Windish DM, Huot SJ, Green ML. Medicine Residents' Understanding of the Biostatistics and Results in the Medical Literature. JAMA 2007, 298: 1010-1022. PMID: 17785646, DOI: 10.1001/jama.298.9.1010.Peer-Reviewed Original ResearchConceptsMedical literatureKaplan-Meier analysisAdjusted odds ratioMultivariate regression analysisCross-sectional surveyResidency programsOverall mean percentageInternal medicine residentsMale sexIndividual knowledge questionsOdds ratioRelative riskMAIN OUTCOMEClinical informationClinical researchMean percentageGeneral medicine facultyMedicine residentsAdditional advanced degreesResidents' understandingUniversity-based training programRegression analysisKnowledge questionsResidents' abilityPercentage of questions
2004
Effects of training in direct observation of medical residents' clinical competence: a randomized trial.
Holmboe ES, Hawkins RE, Huot SJ. Effects of training in direct observation of medical residents' clinical competence: a randomized trial. Annals Of Internal Medicine 2004, 140: 874-81. PMID: 15172901, DOI: 10.7326/0003-4819-140-11-200406010-00008.Peer-Reviewed Original ResearchConceptsPhysical examinationIntervention groupClinical competenceResidents' clinical competenceAcademic medical centerClinical skillsResidency programsInternal medicine residency programsNew multifaceted approachMedicine residency programsMedical CenterControl groupInternal medicineClinical encountersCompetence trainingFaculty comfortEffect of trainingRandomization designCluster randomization designInteractive small groupsMultifaceted approachTrialsMeaningful changeMedical interviewingGroup
2001
Effectiveness of a Focused Educational Intervention on Resident Evaluations from Faculty
Holmboe E, Fiebach N, Galaty L, Huot S. Effectiveness of a Focused Educational Intervention on Resident Evaluations from Faculty. Journal Of General Internal Medicine 2001, 16: 427-434. PMID: 11520379, PMCID: PMC1495246, DOI: 10.1046/j.1525-1497.2001.016007427.x.Peer-Reviewed Original ResearchConceptsIntervention groupAdministration HospitalControl groupTertiary care university hospitalGeneral medicine teamsCare university hospitalEducational interventionVeterans Administration HospitalFocused educational interventionInternal medicine residentsPrimary outcomeUniversity HospitalClinical managementCommunity hospitalInternal medicine residency training programsReminder cardsMedicine teamEducational sessionsInpatient rotationsHospitalResidency training programsWard rotationsMedicine residentsHouse staffModest effect
1996
Medical Grand Rounds: refractory hypertension and renal insufficiency in a patient with renal artery stenosis.
Huot SJ, Scoutt LM, Meier GH. Medical Grand Rounds: refractory hypertension and renal insufficiency in a patient with renal artery stenosis. The Yale Journal Of Biology And Medicine 1996, 69: 445-60. PMID: 9381740, PMCID: PMC2588999.Peer-Reviewed Original ResearchConceptsRenal artery stenosisArtery stenosisRefractory hypertensionBilateral diseaseRenal insufficiencyRenal functionHigh prevalenceDoppler ultrasoundExtra-anatomical proceduresHigh surgical riskBenefit of revascularizationBlood pressure controlAdministration of angiotensinNon-invasive testsComplex vascular diseaseUse of stentsType of lesionMagnetic resonance angiographySpiral CT scanningRevascularization optionsSurgical revascularizationClinical characteristicsBlood pressureSurgical morbiditySurgical risk