2024
Culture change and lessons learned from ten years in the VA centers of excellence in primary care education
Weppner W, Singh M, Wipf J, Shunk R, Woodard L, Brienza R. Culture change and lessons learned from ten years in the VA centers of excellence in primary care education. BMC Medical Education 2024, 24: 457. PMID: 38671440, PMCID: PMC11047004, DOI: 10.1186/s12909-024-05390-6.Peer-Reviewed Original ResearchConceptsPrimary care educationCare educationVeterans AffairsQuality of chronic disease managementInterprofessional clinical learning environmentTeam-based primary careVA primary care clinicsVA Centers of ExcellenceEducational strategiesPatient care metricsPrimary care clinicsChronic disease managementPatient outcomesPrimary care careersTeam training interventionsQuality improvement approachReduce emergency departmentClinical learning environmentHealth care valueInterprofessional learning environmentMultisite demonstration projectPatient-level outcomesTeam-based approachAmbulatory care trainingOperational improvement activities
2019
Development and Validation of a Polypharmacy Knowledge Assessment Instrument
Thomas JM, Mecca MC, Niehoff KM, Mecca AP, Van Ness PH, Brienza R, Hyson A, Jeffery S. Development and Validation of a Polypharmacy Knowledge Assessment Instrument. American Journal Of Pharmaceutical Education 2019, 83: 6435. PMID: 31333246, PMCID: PMC6630871, DOI: 10.5688/ajpe6435.Peer-Reviewed Original ResearchConceptsNP residentsGeriatric primary careGroup differencesWilcoxon rank sum testKnowledge assessment instrumentInternal medicine residentsRank sum testPrimary careOverall group differencesAcceptable internal consistencyKruskal-Wallis testResponse rateGroup validityPharmacistsSum testDelphi processSix-item versionEducational interventionMedicine residentsResidents' knowledgeBrief instrumentPharmacy residentsPolypharmacyMean scoreAttendings
2016
Addressing outpatient continuity for ambulatory training: A novel tool for longitudinal primary care sign out
Long T, Uradu A, Castillo R, Brienza R. Addressing outpatient continuity for ambulatory training: A novel tool for longitudinal primary care sign out. Education For Health 2016, 29: 51-55. PMID: 26996800, DOI: 10.4103/1357-6283.178923.Peer-Reviewed Original ResearchConceptsHigh-risk patientsPatient care issuesInternal medicine residentsOutpatient continuityHealth professional traineesInterprofessional training modelPrimary care educationPrimary carePatient followInterprofessional traineesAmbulatory settingCare issuesAmbulatory trainingPatientsCare educationMedicine residentsSignsProfessional traineesTrainees' attitudesTraineesClinicFollowCareNovel tool
2015
The Development of Professional Identity and the Formation of Teams in the Veterans Affairs Connecticut Healthcare System’s Center of Excellence in Primary Care Education Program (CoEPCE)
Meyer EM, Zapatka S, Brienza RS. The Development of Professional Identity and the Formation of Teams in the Veterans Affairs Connecticut Healthcare System’s Center of Excellence in Primary Care Education Program (CoEPCE). Academic Medicine 2015, 90: 802-809. PMID: 25551857, DOI: 10.1097/acm.0000000000000594.Peer-Reviewed Original ResearchConnecticutCooperative BehaviorEducation, Medical, GraduateEducation, Nursing, GraduateHumansInternal MedicineInterprofessional RelationsLongitudinal StudiesModels, EducationalNurse PractitionersPatient Care TeamPrimary Health CareQualitative ResearchSelf ConceptSocial IdentificationUnited StatesUnited States Department of Veterans Affairs
2009
A method to quantify and compare clinicians’ assessments of patient understanding during counseling of standardized patients
Farrell MH, Kuruvilla P, Eskra KL, Christopher SA, Brienza RS. A method to quantify and compare clinicians’ assessments of patient understanding during counseling of standardized patients. Patient Education And Counseling 2009, 77: 128-135. PMID: 19380210, PMCID: PMC2737092, DOI: 10.1016/j.pec.2009.03.013.Peer-Reviewed Original ResearchMeSH KeywordsAdultBreast NeoplasmsClinical CompetenceCommunicationCurriculumEducation, Medical, GraduateEducational StatusFemaleHealth Knowledge, Attitudes, PracticeHumansInternal MedicineInternship and ResidencyMaleMass ScreeningPatient Education as TopicPhysician-Patient RelationsProstatic NeoplasmsReferral and ConsultationReproducibility of ResultsSurveys and QuestionnairesUnited StatesThe 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
2005
Evaluation of a Women's Safe Shelter Experience to Teach Internal Medicine Residents About Intimate Partner Violence
Brienza RS, Whitman L, Ladouceur L, Green ML. Evaluation of a Women's Safe Shelter Experience to Teach Internal Medicine Residents About Intimate Partner Violence. Journal Of General Internal Medicine 2005, 20: 536-540. PMID: 15987330, PMCID: PMC1490142, DOI: 10.1111/j.1525-1497.2005.0100.x.Peer-Reviewed Original ResearchConceptsIntimate partner violenceMajor public health problemPublic health problemGreater pre-post improvementWeak study designsInternal medicine residentsPre-post improvementsFemale patientsPartner violenceHealth problemsOutcome assessmentComposite subscalesStudy designMedicine residentsResidents' knowledgeSignificant differencesTrialsSubscalesSmall improvementResidentsPatientsPhysiciansControl
2004
Influence of Gender on the Evaluation of Internal Medicine Residents
Brienza RS, Huot S, Holmboe ES. Influence of Gender on the Evaluation of Internal Medicine Residents. Journal Of Women's Health 2004, 13: 77-83. PMID: 15006280, DOI: 10.1089/154099904322836483.Peer-Reviewed Original ResearchConceptsObservational cohort studyWard rotationsInfluence of genderFocused educational interventionInternal medicine residency programsInternal medicine residentsCohort studyGender influenceMedicine residency programsPotential confoundersWard serviceSignificant gender influenceDifferent hospitalsSecondary analysisResident evaluationsPotential gender influencesEducational interventionMedicine residentsYale University DepartmentGender effectsEvaluation of residentsGender of residentsResidency programsGenderResidents
2002
Delay in Obtaining Conventional Healthcare by Female Internal Medicine Patients Who Use Herbal Therapies
Brienza RS, Stein MD, Fagan MJ. Delay in Obtaining Conventional Healthcare by Female Internal Medicine Patients Who Use Herbal Therapies. Journal Of Women's Health 2002, 11: 79-87. PMID: 11860728, DOI: 10.1089/152460902753473499.Peer-Reviewed Original ResearchConceptsHerbal therapy useInternal medicine patientsConventional careTreatment of symptomsHerbal therapyTherapy useFemale patientsMedicine patientsHerbal productsDelay of careTreatment of illnessMean ageAmbulatory clinicsHigh prevalenceGeneral internistsGeneral populationHigh school educationPrescription medicinesPatientsMultivariate analysisMedical problemsTherapyCareSelf-report surveyConventional healthcare