JAMA : the journal of the American Medical Association
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Randomized Controlled Trial
Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial.
A 2009 Institute of Medicine report recommended protected sleep periods for medicine trainees on extended overnight shifts, a position reinforced by new Accreditation Council for Graduate Medical Education requirements. ⋯ For internal medicine services at 2 hospitals, implementation of a protected sleep period while on call resulted in an increase in overnight sleep duration and improved alertness the next morning.
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Randomized Controlled Trial Comparative Study
Effects of 2- vs 4-week attending physician inpatient rotations on unplanned patient revisits, evaluations by trainees, and attending physician burnout: a randomized trial.
Data are sparse on the effect of varying the durations of internal medicine attending physician ward rotations. ⋯ The use of 2-week inpatient attending physician rotations compared with 4-week rotations did not result in an increase in unplanned patient revisits. It was associated with better self-rated measures of attending physician burnout and emotional exhaustion but worse evaluations by trainees.
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Randomized Controlled Trial
Effectiveness of a clinically integrated e-learning course in evidence-based medicine for reproductive health training: a randomized trial.
For evidence-based practice to embed culturally in the workplace, teaching of evidence-based medicine (EBM) should be clinically integrated. In low-middle-income countries (LMICs) there is a scarcity of EBM-trained clinical tutors, lack of protected time for teaching EBM, and poor access to relevant databases in languages other than English. ⋯ In a group of LMICs, a clinically integrated e-learning EBM curriculum in reproductive health compared with a self-directed EBM course resulted in higher knowledge and skill scores and improved educational environment.
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There has been difficulty designing medical school admissions processes that provide valid measurement of candidates' nonacademic qualities. ⋯ Compared with students who were rejected by an admission process that used MMI assessment, students who were accepted scored higher on Canadian national licensing examinations.