2020
Impact of interprofessional embedding of physical therapy in a primary care training clinic
McKay SE, Buono FD, Walker J, Glinski C, Printz DMB, Brienza R. Impact of interprofessional embedding of physical therapy in a primary care training clinic. Journal Of Interprofessional Care 2020, 35: 532-537. PMID: 32917104, DOI: 10.1080/13561820.2020.1798898.Peer-Reviewed Original ResearchConceptsPrimary care clinicsPhysical therapyCare clinicsPT referralPhysical therapistsDiscontinuation of carePrimary care visitsPrimary care settingTraining clinicDecreased turnaround timePrimary care educationCare visitsMusculoskeletal painPrimary careProminent complaintPost-graduate traineesCare settingsVHA sitesReferral systemReferral processClinicReferralInterprofessional clinicInterprofessional teamCare education
2019
Association of a Multisite Interprofessional Education Initiative With Quality of Primary Care
Edwards ST, Hooker ER, Brienza R, O’Brien B, Kim H, Gilman S, Harada N, Gelberg L, Shull S, Niederhausen M, King S, Hulen E, Singh MK, Tuepker A. Association of a Multisite Interprofessional Education Initiative With Quality of Primary Care. JAMA Network Open 2019, 2: e1915943. PMID: 31747038, PMCID: PMC6902823, DOI: 10.1001/jamanetworkopen.2019.15943.Peer-Reviewed Original ResearchConceptsAmbulatory care sensitive conditionsPatients 65 yearsHigh-risk medicationsMental health referralsQuality of careResident cliniciansHealth referralsPatient outcomesVeterans Affairs (VA) electronic health record dataAcademic primary care clinicPrimary care mental healthProportion of patientsPrimary care clinicsElectronic health record dataHealth record dataInterprofessional educationImplementation of IPEHypertension controlPrimary care educationHemoglobin A1cCare clinicsRenal testsPrimary careNurse practitionersMAIN OUTCOMEDevelopment 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
Veterans Affairs Interprofessional Nurse Practitioner Residency in Primary Care: A Competency-based Program
Rugen K, Speroff E, Zapatka S, Brienza R. Veterans Affairs Interprofessional Nurse Practitioner Residency in Primary Care: A Competency-based Program. The Journal For Nurse Practitioners 2016, 12: e267-e273. DOI: 10.1016/j.nurpra.2016.02.023.Peer-Reviewed Original ResearchNurse practitioner transitionNurse practitioner residenciesVeterans Affairs centersInstitute of MedicinePrimary care educationPrimary carePractitioners transitionCompetency-based assessment toolCare educationPractice areaPractice programAssessment toolLack of literatureProgram effectivenessAchievement of competenciesResidencyCareAt a Crossroads
Brienza RS. At a Crossroads. Academic Medicine 2016, 91: 621-623. PMID: 26839946, DOI: 10.1097/acm.0000000000001119.Peer-Reviewed Original ResearchConceptsPrimary care providersPrimary carePatient careVeterans Affairs Boston Healthcare SystemHigh-quality primary careInterprofessional teamPC training programAcademic medical centerVeterans Affairs centersCare education programHigh-quality carePanel of patientsComplex patientsPatient visitsPC settingsMedical CenterCare providersTreatment centersPatientsPC educationAmbulatory DiagnosticCareImproved satisfactionHealth professional educationHealthcare systemAddressing 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
Implementing the patient-centered medical home in residency education
Doolittle BR, Tobin D, Genao I, Ellman M, Ruser C, Brienza R. Implementing the patient-centered medical home in residency education. Education For Health 2015, 28: 74-78. PMID: 26261119, DOI: 10.4103/1357-6283.161916.Peer-Reviewed Original ResearchConceptsPatient-centered medical home (PCMH) modelPatient-centered medical homeEmergency room visitsMid-level providersHealth care personnelMedical home modelTeam-based approachThird-party payersRoom visitsPrimary careMedical homePhysician training programsCare personnelEfficient carePhysician groupsHome modelParty payersGraduate Medical EducationAccreditation CouncilCare
2014
Expanding Health Policy and Advocacy Education for Graduate Trainees
Long T, Chaiyachati KH, Khan A, Siddharthan T, Meyer E, Brienza R. Expanding Health Policy and Advocacy Education for Graduate Trainees. Journal Of Graduate Medical Education 2014, 6: 547-50. PMID: 26279783, PMCID: PMC4535222, DOI: 10.4300/jgme-d-13-00363.1.Peer-Reviewed Original ResearchHealth policyVA Connecticut Healthcare SystemHealth professional trainingHealth care systemInternal medicine residentsPrimary care educationAmerican health care systemPrimary careSustained improvementHealth professionalsAdvocacy curriculumAdvocacy skillsCare systemCare educationMedicine residentsSample t-testHealth professional educationHealthcare systemHealth care financePharmacy residentsRank testCenters of excellenceT-testMedical school levelImproved comfort
2002
Alcohol Use Disorders in Primary Care
Brienza RS, Stein MD. Alcohol Use Disorders in Primary Care. Journal Of General Internal Medicine 2002, 17: 387-397. PMID: 12047738, PMCID: PMC1495039, DOI: 10.1046/j.1525-1497.2002.10617.x.Peer-Reviewed Original ResearchConceptsAlcohol use disorderPrimary care physiciansUse disordersCoronary artery disease mortalityPrevalence of AUDGender-specific differencesCare physiciansPsychiatric comorbidityAccelerated progressionDisease mortalityPrimary careRisk drinkingBreast cancerModerate drinkersAlcohol consumptionAlcohol toxicityHeavy drinkersBrief interventionTreatment programWomenPast historyCommon barriersMenMortalityPhysiciansAlcohol use disorders in primary care
Brienza R, Stein M. Alcohol use disorders in primary care. Journal Of General Internal Medicine 2002, 17: 387-397. DOI: 10.1007/s11606-002-0046-1.Peer-Reviewed Original ResearchAlcohol use disorderPrimary care physiciansUse disordersCoronary artery disease mortalityPrevalence of AUDGender-specific differencesCare physiciansPsychiatric comorbidityAccelerated progressionDisease mortalityPrimary careRisk drinkingBreast cancerModerate drinkersAlcohol consumptionAlcohol toxicityHeavy drinkersBrief interventionTreatment programWomenPast historyCommon barriersMenMortalityPhysicians