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 changesTeaching Sideways: Implementing a Peer-Led Medical Student Orientation Bootcamp and Survival Guide for Internal Medicine Clerkship
Ramakrishnan D, Ilagan-Ying Y, Bollinger B, Dunne D. Teaching Sideways: Implementing a Peer-Led Medical Student Orientation Bootcamp and Survival Guide for Internal Medicine Clerkship. Southern Medical Journal 2024, 117: 1-6. PMID: 38151243, DOI: 10.14423/smj.0000000000001638.Peer-Reviewed Original ResearchConceptsMedical schoolsStudent confidenceStudent expectationsClerkship yearMedical studentsPostclerkship surveyStudent confidence ratingsPercentage of studentsInternal medicine clerkshipSurvival GuideStudent cohortsStudent questionsClerkship studentsMedicine clerkshipClerkship evaluationsClerkshipStudentsBootcampMentorship approachSchoolsPreparation materialsCore topicsLikert scaleIdentification of waysIM rotations
2022
Comparison of traditional instruction versus nontraditional learning to improve trainee knowledge of urine culture practices in catheterized patients
Gao CA, Datta R, Dunne D, Dembry LM, Martinello RA, Juthani-Mehta M, Advani SD. Comparison of traditional instruction versus nontraditional learning to improve trainee knowledge of urine culture practices in catheterized patients. Antimicrobial Stewardship & Healthcare Epidemiology 2022, 2: e81. PMID: 35647610, PMCID: PMC9139028, DOI: 10.1017/ash.2022.225.Peer-Reviewed Original Research
2020
1546. Update in Syphilis Proctitis: Insights from a Case Series and Literature Review
Ferzacca E, Dunne D, Barbieri A, Aoun-Barakat L. 1546. Update in Syphilis Proctitis: Insights from a Case Series and Literature Review. Open Forum Infectious Diseases 2020, 7: s772-s773. PMCID: PMC7777609, DOI: 10.1093/ofid/ofaa439.1726.Peer-Reviewed Original ResearchCases of proctitisLower gastrointestinal symptomsLymphoplasmacytic inflammatory infiltrateProminent plasma cellsInflammatory bowel diseasePhysical exam findingsMale sex assignmentPublic health consequencesAnal painAnorectal massAnorectal ulcersSyphilitic proctitisGastrointestinal symptomsChart reviewRectal massSyphilis infectionBowel diseaseRare manifestationCase seriesInflammatory infiltrateEarly syphilisExam findingsBiopsy specimensMedical recordsMisdiagnosis results
2019
Development of a Novel Competency-Based Evaluation System for HIV Primary Care Training: the HIV Entrustable Professional Activities
Dunne D, Green M, Tetrault J, Barakat LA. Development of a Novel Competency-Based Evaluation System for HIV Primary Care Training: the HIV Entrustable Professional Activities. Journal Of General Internal Medicine 2019, 35: 331-335. PMID: 31667752, PMCID: PMC6957645, DOI: 10.1007/s11606-019-04956-1.Peer-Reviewed Original ResearchConceptsPrimary care providersEntrustable professional activitiesPrimary care internal medicine residency programPrimary care trainingInternal medicine residency programsHIV wardHIV clinicMedicine residency programsCare providersInternal medicine milestonesHIV educationCare trainingExpert panelTraining trackResident assessmentResidency programsUnsupervised practiceEvaluation toolResident participantsResident evaluationsHIVPatientsAimToNovel competenciesClinicSpecialty and Lifestyle Preference Changes during Medical School
Fischer J, Clinite K, Sullivan E, Jenkins T, Bourne C, Chou C, Diemer G, Dunne D, Hartung P, Paauw D, Reddy S. Specialty and Lifestyle Preference Changes during Medical School. Medical Science Educator 2019, 29: 995-1001. PMID: 34457576, PMCID: PMC8368833, DOI: 10.1007/s40670-019-00790-6.Peer-Reviewed Original ResearchSpecialty preferencesMedical schoolsLifestyle factorsFourth-year studentsEffectiveness of health systemsFirst-year studentsAvailability of physiciansStudents' specialty preferencesMedical students’ specialty preferencesCourse of medical schoolStudents' specialty choicesLifestyle preferencesPhysician lifestyleHealth systemResultsResponse rateSpecialty choiceEligible studentsLifestyleSpecialtyViews of institutional leaders on maintaining humanism in today’s practice
Gilligan MC, Osterberg LG, Rider EA, Derse AR, Weil AB, Litzelman DK, Dunne DW, Hafler JP, Plews-Ogan M, Frankel RM, Branch WT. Views of institutional leaders on maintaining humanism in today’s practice. Patient Education And Counseling 2019, 102: 1911-1916. PMID: 31097330, DOI: 10.1016/j.pec.2019.04.025.Peer-Reviewed Original Research
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 opportunitiesHealthcare at the Crossroads: The Need to Shape an Organizational Culture of Humanistic Teaching and Practice
Rider EA, Gilligan MC, Osterberg LG, Litzelman DK, Plews-Ogan M, Weil AB, Dunne DW, Hafler JP, May NB, Derse AR, Frankel RM, Branch WT. Healthcare at the Crossroads: The Need to Shape an Organizational Culture of Humanistic Teaching and Practice. Journal Of General Internal Medicine 2018, 33: 1092-1099. PMID: 29740787, PMCID: PMC6025655, DOI: 10.1007/s11606-018-4470-2.Peer-Reviewed Original Research
2017
A Multi-Institutional Longitudinal Faculty Development Program in Humanism Supports the Professional Development of Faculty Teachers
Branch WT, Frankel RM, Hafler JP, Weil AB, Gilligan MC, Litzelman DK, Plews-Ogan M, Rider EA, Osterberg LG, Dunne D, May NB, Derse AR. A Multi-Institutional Longitudinal Faculty Development Program in Humanism Supports the Professional Development of Faculty Teachers. Academic Medicine 2017, 92: 1680-1686. PMID: 28991846, PMCID: PMC5704738, DOI: 10.1097/acm.0000000000001940.Peer-Reviewed Original ResearchConceptsFaculty development programProfessional developmentHumanistic teachingFaculty participantsLearning theoryRole modelingLongitudinal faculty development programDevelopment programsExperiential learning techniquesCanadian medical schoolsProfessional identity formationFaculty teachersMost schoolsAcademic yearMedical educationMedical schoolsYearlong programNarrative reflectionInstitutional initiativesSchoolsFacultyTeachingMedical humanismLocal facilitatorsIdentity formationHow physicians draw satisfaction and overcome barriers in their practices: “It sustains me”
Branch WT, Weil AB, Gilligan MC, Litzelman DK, Hafler JP, Plews-Ogan M, Rider EA, Osterberg LG, Dunne D, Derse AR, Pittman JR, Frankel RM. How physicians draw satisfaction and overcome barriers in their practices: “It sustains me”. Patient Education And Counseling 2017, 100: 2320-2330. PMID: 28623052, DOI: 10.1016/j.pec.2017.06.004.Peer-Reviewed Original Research
2016
Sexually Transmitted Infections in the Context of HIV Disease: Clinical Implications.
Dunne DW. Sexually Transmitted Infections in the Context of HIV Disease: Clinical Implications. Topics In Antiviral Medicine 2016, 24: 111-114. PMID: 27841982, PMCID: PMC6148914.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2014
Lifestyle Factors and Primary Care Specialty Selection
Clinite KL, DeZee KJ, Durning SJ, Kogan JR, Blevins T, Chou CL, Diemer G, Dunne DW, Fagan MJ, Hartung PJ, Kazantsev SM, Mechaber HF, Paauw DS, Wong JG, Reddy ST. Lifestyle Factors and Primary Care Specialty Selection. Academic Medicine 2014, 89: 1483-1489. PMID: 25250748, DOI: 10.1097/acm.0000000000000487.Peer-Reviewed Original Research
2013
Primary Care, the ROAD Less Traveled
Clinite KL, Reddy ST, Kazantsev SM, Kogan JR, Durning SJ, Blevins T, Chou CL, Diemer G, Dunne DW, Fagan MJ, Hartung PJ, Mechaber HF, Paauw DS, Wong JG, DeZee KJ. Primary Care, the ROAD Less Traveled. Academic Medicine 2013, 88: 1522-1528. PMID: 23969353, DOI: 10.1097/acm.0b013e3182a316eb.Peer-Reviewed Original ResearchMyD88 Deficiency Markedly Worsens Tissue Inflammation and Bacterial Clearance in Mice Infected with Treponema pallidum, the Agent of Syphilis
Silver AC, Dunne DW, Zeiss CJ, Bockenstedt LK, Radolf JD, Salazar JC, Fikrig E. MyD88 Deficiency Markedly Worsens Tissue Inflammation and Bacterial Clearance in Mice Infected with Treponema pallidum, the Agent of Syphilis. PLOS ONE 2013, 8: e71388. PMID: 23940747, PMCID: PMC3734110, DOI: 10.1371/journal.pone.0071388.Peer-Reviewed Original ResearchConceptsMyD88-deficient miceTreponema pallidumMyD88-deficient animalsResistance of miceToll-like receptorsWild-type miceMyD88-deficient macrophagesMacrophage-mediated clearanceHigh pathogen burdenMyD88 deficiencySpirochete Treponema pallidumWT miceTissue infiltratesBacterial clearanceExtensive inflammationTissue inflammationPlasma cellsControl animalsWT macrophagesMost TLRsAnimal modelsMixed mononuclearPathogen burdenMiceT. pallidum
2011
O4-S2.05 Myd-88 deficient mice show evidence of productive T pallidum infection"
Dunne D, Silver A, Fieber J, Zeiss C, Fikrig E. O4-S2.05 Myd-88 deficient mice show evidence of productive T pallidum infection". Sexually Transmitted Infections 2011, 87: a87. DOI: 10.1136/sextrans-2011-050109.149.Peer-Reviewed Original ResearchMyD-88C57BL/6 miceDeficient miceImmunohistochemical stainsImmune responseMurine modelT pallidumDay 10Intact innate immune responseOnly natural reservoirNew Zealand male rabbitsB6 control miceInnate immune cellsUseful murine modelAged C57BL/6 miceWild-type miceInnate immune responseInnate immune systemPattern recognition receptorsImmune response mechanismsDownstream cytokine responsesSyphilis infectionSystemic illnessLymph nodesCytokine responses
2010
Increased TLR4 Expression and Downstream Cytokine Production in Immunosuppressed Adults Compared to Non-Immunosuppressed Adults
Dunne DW, Shaw A, Bockenstedt LK, Allore HG, Chen S, Malawista SE, Leng L, Mizue Y, Piecychna M, Zhang L, Towle V, Bucala R, Montgomery RR, Fikrig E. Increased TLR4 Expression and Downstream Cytokine Production in Immunosuppressed Adults Compared to Non-Immunosuppressed Adults. PLOS ONE 2010, 5: e11343. PMID: 20596538, PMCID: PMC2893205, DOI: 10.1371/journal.pone.0011343.Peer-Reviewed Original ResearchConceptsNon-immunosuppressed adultsMIF levelsImmunosuppressive medicationsAutoimmune diseasesIL-8Cytokine productionMonocyte Toll-like receptor (TLR) expressionInnate immunityToll-like receptor expressionEnhanced innate immune responseAltered host immunityAutoimmune disease groupDownstream cytokine productionNon-immunosuppressed individualsUnderlying autoimmune diseaseFeatures of patientsHuman peripheral blood monocytesTLR4 surface expressionCytokine IL-8Number of patientsSurface expressionPeripheral blood monocytesInnate immune responseRisk of infectionImmunosuppressed adults
2009
Diagnosis of acute HIV infection in Connecticut.
Dubrow R, Sikkema KJ, Mayer KH, Bruce RD, Julian P, Rodriguez I, Beckwith C, Roome A, Dunne D, Boeving A, Kidder TJ, Jenkins H, Dobson M, Becker J, Merson MH. Diagnosis of acute HIV infection in Connecticut. Connecticut Medicine 2009, 73: 325-31. PMID: 19637661, PMCID: PMC3072267.Peer-Reviewed Original ResearchConceptsAcute HIV infectionNonspecific viral syndromeHIV infectionViral syndromeFurther HIV transmissionEarly medical carePrimary care providersAHI casesAHI diagnosisHIV viremiaHIV antibodiesHIV diseaseSTD clinicHIV transmissionDifferential diagnosisCare providersCare facilitiesMedical careClinical referralsDiagnosisInfectionNational InstituteReferralSyndromeEarly stages
2006
Comparative epidemiology of Chlamydia trachomatis infection among men attending sexually transmitted disease clinics with and without indication for testing
Rowhani-Rahbar A, Niccolai LM, Dunne DW, Green S, Jenkins H, Khoshnood K. Comparative epidemiology of Chlamydia trachomatis infection among men attending sexually transmitted disease clinics with and without indication for testing. International Journal Of STD & AIDS 2006, 17: 453-458. PMID: 16820074, DOI: 10.1258/095646206777689143.Peer-Reviewed Original ResearchConceptsC. trachomatis infectionChlamydia trachomatis infectionTrachomatis infectionRoutine reproductive health careDifferent clinical settingsReproductive health careHealth care providersRisk of infectionElectronic medical recordsGroup of menSTD clinicDisease clinicMale patientsMedical recordsRisk factorsPrior historyClinical settingInfectionComparative epidemiologyHealth careYoung menMenClinicEpidemiologyIndications
2005
Condom effectiveness for prevention of Chlamydia trachomatis infection
Niccolai LM, Rowhani-Rahbar A, Jenkins H, Green S, Dunne DW. Condom effectiveness for prevention of Chlamydia trachomatis infection. Sexually Transmitted Infections 2005, 81: 323. PMID: 16061540, PMCID: PMC1745001, DOI: 10.1136/sti.2004.012799.Peer-Reviewed Original ResearchConceptsC trachomatis infectionChlamydia trachomatis infectionTrachomatis infectionDisease-specific estimatesEffectiveness of condomsC trachomatisCondom usersMedical record databaseObserved protective effectConsistent condom usersInconsistent condom usersInfected partnerDisease clinicBody of evidenceInfection preventionProtective effectUnknown exposureRecord databaseCondom effectivenessInfectionCondomsClinicTrachomatisExposurePrevention