Journal of general internal medicine
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Randomized Controlled Trial
Impact of Pre-visit Contextual Data Collection on Patient-Physician Communication and Patient Activation: a Randomized Trial.
Patient contextual data (PCD) are often missing from electronic health records, limiting the opportunity to incorporate preferences and life circumstances into care. Engaging patients through tools that collect and summarize such data may improve communication and patient activation. However, differential tool adoption by race might widen health care disparities. ⋯ The inclusion of PCD enhanced essential aspects of patient-provider communication but did not affect patient activation. Outcomes did not differ by race.
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Letter Randomized Controlled Trial
Addressing Resident Retention of Musculoskeletal Skills, Knowledge, and Confidence: a Randomized Controlled Study of a Clinic Intervention.
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Randomized Controlled Trial
Home Telemonitoring to Reduce Readmission of High-Risk Patients: a Modified Intention-to-Treat Randomized Clinical Trial.
Home telemonitoring has been used with discharged patients in an attempt to reduce 30-day readmissions with mixed results. ⋯ Thirty days of postdischarge telemonitoring may reduce readmissions of high-risk patients.
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Randomized Controlled Trial
Evaluating the SPIKES Model for Improving Peer-to-Peer Feedback Among Internal Medicine Residents: a Randomized Controlled Trial.
Feedback improves trainee clinical performance, but the optimal way to provide it remains unclear. Peer feedback offers unique advantages but comes with significant challenges including a lack of rigorously studied methods. The SPIKES framework is a communication tool adapted from the oncology and palliative care literature for teaching trainees how to lead difficult conversations. ⋯ With modest implementation requirements and notable limitations, a brief educational intervention focused on SPIKES increased PGY1 perception of the extent, specificity, and satisfaction with feedback from PGY2s.