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
Implementation of simulation-based health systems science modules for resident physicians
Li L, Ray JM, Bathgate M, Kulp W, Cron J, Huot SJ, Wong AH. Implementation of simulation-based health systems science modules for resident physicians. BMC Medical Education 2022, 22: 584. PMID: 35906583, PMCID: PMC9338604, DOI: 10.1186/s12909-022-03627-w.Peer-Reviewed Original ResearchConceptsResident physiciansImpact care qualityPost-session surveysSimulation-based scenariosCross-cutting domainsResidency training programsMultiple stakeholder perspectivesCare qualityCare deliveryImplementation scienceHealth careEmotional reactionsHands-on practiceEducational moduleIn-personTraining programResidency programsResidency trainingRole-play formatPhysiciansStakeholder perspectivesMedical simulationClinical practiceCareParticipantsBurnout 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 symptomsProxy Detection of Resident Burnout by Program Directors and Domestic Partners.
Esposito AC, White EM, Coppersmith NA, Huot SJ, Asnes AG, Yoo PS, Solomon DG. Proxy Detection of Resident Burnout by Program Directors and Domestic Partners. Journal Of The American College Of Surgeons 2022, 234: 1111-1117. PMID: 35703807, DOI: 10.1097/xcs.0000000000000169.Peer-Reviewed Original ResearchConceptsSelf-reported burnout rateEmotional exhaustionResident burnoutBurnout ratesMaslach Burnout InventoryPersonal accomplishmentBurnout InventoryBurnoutImportant target audienceDomestic partnersRespondent typeDepersonalizationResident spousesPartner predictionsExhaustionSpousesModerate correlationPartnersIncidence of depressionTarget audience
2021
What's it Worth?: The Costs and Benefits of an Initiative to Decrease Post-Call Fatigued Driving Among Surgery Residents
White EM, Freedman-Weiss MR, Heller DR, Huot SJ, Yoo PS. What's it Worth?: The Costs and Benefits of an Initiative to Decrease Post-Call Fatigued Driving Among Surgery Residents. Journal Of Surgical Research 2021, 261: 248-252. PMID: 33460970, DOI: 10.1016/j.jss.2020.12.039.Peer-Reviewed Original Research
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
2018
The Changing Face of HIV Care
Barakat LA, Dunne DW, Tetrault JM, Soares S, Chia D, Ogbuagu OE, Moriarty JP, Huot SJ, Green ML. The Changing Face of HIV Care. Academic Medicine 2018, 93: 1673-1678. PMID: 29901657, DOI: 10.1097/acm.0000000000002317.Peer-Reviewed Original ResearchConceptsHIV carePrimary careRisk of comorbiditiesPrimary care residency programsEntrustable professional activitiesHigh-quality HIVHIV/AIDSResidency programsInternal medicine residency programsMedicine residency programsHIV trainingShortage of physiciansHIVClinical training opportunitiesResident schedulesCarePatientsNeeds assessmentSingle settingPhysician workforceWeb-based curriculumProgram evaluationTraining trackComorbiditiesTraining opportunities
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
Middle Manager Role of the Chief Medical Resident: An Organizational Psychologist’s Perspective
Berg DN, Huot SJ. Middle Manager Role of the Chief Medical Resident: An Organizational Psychologist’s Perspective. Journal Of General Internal Medicine 2007, 22: 1771-1774. PMID: 17940827, PMCID: PMC2219837, DOI: 10.1007/s11606-007-0425-8.Peer-Reviewed Original ResearchMedicine 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
2006
Internal Medicine Residents' Clinical and Didactic Experiences After Work Hour Regulation: A Survey of Chief Residents
Horwitz LI, Krumholz HM, Huot SJ, Green ML. Internal Medicine Residents' Clinical and Didactic Experiences After Work Hour Regulation: A Survey of Chief Residents. Journal Of General Internal Medicine 2006, 21: 961-965. PMID: 16918742, PMCID: PMC1831597, DOI: 10.1111/j.1525-1497.2006.00508.x.Peer-Reviewed Original Research
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 interviewingGroupA Collaborative Initiative to Improve the Care of Elderly Medicare Patients With Hypertension
Meehan TP, Tate JP, Holmboe ES, Teeple EA, Elwell A, Meehan RR, Petrillo MK, Huot SJ. A Collaborative Initiative to Improve the Care of Elderly Medicare Patients With Hypertension. American Journal Of Medical Quality 2004, 19: 103-111. PMID: 15212315, DOI: 10.1177/106286060401900303.Peer-Reviewed Original ResearchConceptsPrimary care physiciansQuality Improvement OrganizationElderly patientsBlood pressure controlPrimary care settingElderly Medicare patientsMedicare billing dataPatient characteristicsCare physiciansMedical recordsMedicare patientsCare settingsPatientsImprovement interventionsPressure controlHypertensionBilling dataAdditional studiesCarePrivate practiceImprovement organizationsInterventionBaseline performance dataQualidigmTherapy
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