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 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
2017
Modifying the Primary Care Exception Rule to Require Competency-Based Assessment
Tobin DG, Doolittle BR, Ellman MS, Ruser CB, Brienza RS, Genao I. Modifying the Primary Care Exception Rule to Require Competency-Based Assessment. Academic Medicine 2017, 92: 331-334. PMID: 27355783, DOI: 10.1097/acm.0000000000001293.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPrimary care practicesResident competenceClinical competenceGraduate Medical EducationResidents' clinical competenceMonths of trainingAmbulatory careCare practicesMedicaid ServicesExamination roomCarePhysiciansBilling requirementsTraining programMilestones frameworkBilling rulesResidents' readinessResidentsTeaching residents
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
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
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 ResearchMeSH KeywordsAdultAudiovisual AidsClinical CompetenceFemaleHumansInternal MedicineInternship and ResidencyMaleMass ScreeningSpouse AbuseSurveys and QuestionnairesWomen's HealthConceptsIntimate 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