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 scoreAttendingsAssessing an Interprofessional Polypharmacy and Deprescribing Educational Intervention for Primary Care Post-graduate Trainees: a Quantitative and Qualitative Evaluation
Mecca MC, Thomas JM, Niehoff KM, Hyson A, Jeffery SM, Sellinger J, Mecca AP, Van Ness PH, Fried TR, Brienza R. Assessing an Interprofessional Polypharmacy and Deprescribing Educational Intervention for Primary Care Post-graduate Trainees: a Quantitative and Qualitative Evaluation. Journal Of General Internal Medicine 2019, 34: 1220-1227. PMID: 30972554, PMCID: PMC6614292, DOI: 10.1007/s11606-019-04932-9.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCohort StudiesDeprescriptionsDrug-Related Side Effects and Adverse ReactionsFemaleFollow-Up StudiesHumansInternship and ResidencyMalePharmacy ResidenciesPolypharmacyPotentially Inappropriate Medication ListPrimary Health CareProspective StudiesQualitative ResearchVeteransConceptsComplex medication managementMedication managementCardiovascular medicationsInternal medicineOlder adultsOutpatient medication managementProspective cohort studyType of medicationPre-post knowledge testInternal comparison groupPrimary care trainingAdverse health effectsInappropriate medicationsCohort studyMain MeasuresWeIntervention groupPost-graduate traineesMedical appointmentsMedicationsControl groupIndividual appointmentsCare trainingNP residentsPolypharmacyClinical setting
2018
Qualitative study of perspectives concerning recent rehospitalisations among a high-risk cohort of veteran patients in Connecticut, USA
Antony SM, Grau LE, Brienza RS. Qualitative study of perspectives concerning recent rehospitalisations among a high-risk cohort of veteran patients in Connecticut, USA. BMJ Open 2018, 8: e018200. PMID: 29960998, PMCID: PMC6042565, DOI: 10.1136/bmjopen-2017-018200.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overConnecticutDelivery of Health Care, IntegratedFemaleHospitals, VeteransHumansInterviews as TopicMaleMiddle AgedPatient DischargePatient ReadmissionPatient SatisfactionPrimary Health CareQualitative ResearchRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPrimary care providersMental health disordersPCP involvementPostdischarge planHealth disordersHealth statusVA Connecticut Healthcare SystemVeterans Affairs patientsHigh-risk patientsHigh-risk cohortMedical inpatient unitsPoor social supportSerious medical conditionLow socioeconomic statusRehospitalisation riskMultiple comorbiditiesVeteran patientsClinic hoursPostdischarge servicesMean ageSpecialty careMedication managementRehospitalisationVA inpatientMedical conditions
2016
At 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 system
2014
The Case for Interprofessional Learning and Collaborative Practice in Graduate Medical Education
Brienza RS, Zapatka S, Meyer EM. The Case for Interprofessional Learning and Collaborative Practice in Graduate Medical Education. Academic Medicine 2014, 89: 1438-1439. PMID: 25350333, DOI: 10.1097/acm.0000000000000490.Peer-Reviewed Original ResearchMoving from silos to teamwork: integration of interprofessional trainees into a medical home model
Long T, Dann S, Wolff ML, Brienza RS. Moving from silos to teamwork: integration of interprofessional trainees into a medical home model. Journal Of Interprofessional Care 2014, 28: 473-474. PMID: 24593328, DOI: 10.3109/13561820.2014.891575.Peer-Reviewed Original ResearchConceptsTeam-based careVeterans AffairsPatient Aligned Care TeamsEffective team-based careFuture providersMedical home modelOne-year postPrimary care workforcePrimary care educationVA centersCare teamInterprofessional traineesHealth outcomesInterprofessional teamwork trainingClinic efficiencyFaculty providersHealth professionalsInterprofessional careClinical fellowshipHome modelCare educationVA systemCare workforceInterprofessional collaborationInterprofessional training
2013
Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education
Rugen KW, Watts SA, Janson SL, Angelo LA, Nash M, Zapatka SA, Brienza R, Gilman SC, Bowen JL, Saxe JM. Veteran Affairs Centers of Excellence in Primary Care Education: Transforming nurse practitioner education. Nursing Outlook 2013, 62: 78-88. PMID: 24630678, DOI: 10.1016/j.outlook.2013.11.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultCurriculumDecision MakingDelivery of Health CareEducation, Nursing, GraduateFemaleHumansInternship and ResidencyInterprofessional RelationsLongitudinal StudiesMaleModels, EducationalNurse PractitionersOrganizational ObjectivesPatient-Centered CarePilot ProjectsPrimary Health CareProgram DevelopmentProgram EvaluationQuality ImprovementUnited StatesUnited States Department of Veterans AffairsYoung AdultConceptsNurse practitioner educationPrimary care educationCurricular modelCare educationPractitioner educationHealth care professional learnersInnovative curricular modelLongitudinal learning experiencesDelivery modelVeterans Affairs centersLearning experiencePeer learnersProfessional learnersEducational modelCurricular domainsHealth care trainingInterprofessional learnersNP educationFaculty mentorsEducationInterprofessional collaborationLearnersFoster transformationSustained relationshipsPrimary care delivery models
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
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 barriersMenMortalityPhysiciansDelay 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
2000
Depression among needle exchange program and methadone maintenance clients
Brienza R, Stein M, Chen M, Gogineni A, Sobota M, Maksad J, Hu P, Clarke J. Depression among needle exchange program and methadone maintenance clients. Journal Of Substance Use And Addiction Treatment 2000, 18: 331-337. PMID: 10812305, DOI: 10.1016/s0740-5472(99)00084-7.Peer-Reviewed Original ResearchConceptsMethadone maintenance treatment programNeedle exchange programsMajor depressionMultivariate logistic regressionInjection drug usersMaintenance treatment programMental health referralsStructured Clinical InterviewAlcohol use disorderCross-sectional interviewMethadone maintenance clientsHIV statusHealth referralsUse disordersClinical InterviewDrug usersNeedle exchangeDSM-IIITreatment programLogistic regressionNEP attendeesDepressionDuration criteriaHigh rateExchange programs