Effects of 2- vs 4-Week Attending Physician Inpatient Rotations on Unplanned Patient Revisits, Evaluations by Trainees, and Attending Physician Burnout: A Randomized Trial
Lucas B, Trick W, Evans A, Mba B, Smith J, Das K, Clarke P, Varkey A, Mathew S, Weinstein R. Effects of 2- vs 4-Week Attending Physician Inpatient Rotations on Unplanned Patient Revisits, Evaluations by Trainees, and Attending Physician Burnout: A Randomized Trial. JAMA 2012, 308: 2199-2207. PMID: 23212497, DOI: 10.1001/jama.2012.36522.Peer-Reviewed Original ResearchMeSH KeywordsAdultBurnout, ProfessionalChicagoCross-Over StudiesEmergency Service, HospitalEmotionsFemaleHospital Bed Capacity, 500 and overHospitals, TeachingHumansInternal MedicineMaleMedical Staff, HospitalMiddle AgedPatient CarePatient ReadmissionPatient TransferPhysiciansStudents, MedicalTime FactorsWorkloadConceptsUnplanned revisitsPatient revisitsCrossover noninferiority trialPhysician burnoutLength of stayHouse staffCrossover randomizationSecondary outcomesPrimary outcomeUnique patientsNoninferiority marginNoninferiority trialPhysician reportsInpatient servicesPatientsInternal medicineInpatient rotationsPhysiciansMedical studentsSelf-rated measuresWard rotationsBurnout severityStayEmotional exhaustionTrialsA hospitalist‐run short‐stay unit: Features that predict length‐of‐stay and eventual admission to traditional inpatient services
Lucas B, Kumapley R, Mba B, Nisar I, Lee K, Ofori‐Ntow S, Borkowsky S, Asmar A, Lewis T, Bienias J. A hospitalist‐run short‐stay unit: Features that predict length‐of‐stay and eventual admission to traditional inpatient services. Journal Of Hospital Medicine 2009, 4: 276-284. PMID: 19504489, DOI: 10.1002/jhm.386.Peer-Reviewed Original ResearchConceptsShort-stay unitTraditional inpatient servicesAcute coronary syndromeInpatient servicesEventual admissionHeart failureProvisional diagnosisSpecialty consultationPossible acute coronary syndromeProspective observational cohort studyDiagnostic testsCommon provisional diagnosisLow-risk patientsObservational cohort studyPredictors of lengthLarge public teaching hospitalPublic teaching hospitalCoronary syndromeEligible patientsHospital stayCohort studyConsecutive admissionsMedical recordsPhysical examPatient stay