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 exhaustionTrialsDiagnostic accuracy of hospitalist‐performed hand‐carried ultrasound echocardiography after a brief training program
Lucas B, Candotti C, Margeta B, Evans A, Mba B, Baru J, Asbury J, Asmar A, Kumapley R, Patel M, Borkowsky S, Fung S, Charles‐Damte M. Diagnostic accuracy of hospitalist‐performed hand‐carried ultrasound echocardiography after a brief training program. Journal Of Hospital Medicine 2009, 4: 340-349. PMID: 19670355, DOI: 10.1002/jhm.438.Peer-Reviewed Original ResearchConceptsLarge pericardial effusionInferior vena cavaSevere LV hypertrophyStandard echocardiographySystolic dysfunctionLV hypertrophyPericardial effusionMitral regurgitationDiagnostic accuracyUltrasound echocardiographyCardiac abnormalitiesBrief training programImportant cardiac abnormalitiesLeft atrium enlargementSevere LA enlargementLV systolic dysfunctionVentricular systolic dysfunctionProspective cohort studySevere mitral regurgitationLarge public teaching hospitalPublic teaching hospitalNegative likelihood ratioTraining programAtrium enlargementLikelihood ratio