Journal of general internal medicine
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Randomized Controlled Trial
Theatre of the Oppressed to Teach Medical Students About Power, Lived Experience, and Health Equity.
A difficult challenge in health equity training is conducting honest and safe discussions about differences in lived experience based on social identity, and how racism and other systems of oppression impact health care. ⋯ Theatre of the Oppressed enabled medical students to engage in meaningful discussions about racism and other systems of oppression.
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Mistreatment from patients is prevalent and has far-reaching negative consequences. ⋯ A novel patient-initiated mistreatment curriculum empowered students, resulting in enhanced confidence in responding and sustained skill usage. Medical schools may consider including this training for all graduating students.
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Despite efforts to mitigate a projected primary care physician (PCP) shortage required to meet an aging, growing, and increasingly insured population, shortages remain, compounded by the COVID-19 pandemic, growing inequity, and persistent underinvestment. ⋯ Workforce shortages in primary care continue to expand due to population aging, growth, and heightened rates of clinician burnout & egress.
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Historical Article
Sutton's Law: A Lesson in Decision-Analysis from the Past…and Present.
In 1960, Dr. William Dock, visiting professor at Yale, discussed the case of a young girl with an unknown liver disease. Dock recommended biopsy, invoking bank robber Willie Sutton's words "that's where the money is." Drs. ⋯ Without them, and the unknown medical student who made the diagnosis of schistosomiasis, there would be no Sutton's Law. For many, it is an obsolete and apocryphal aphorism valuable solely for touting the importance of specificity in tissue diagnosis. For others, it has evolved, remaining relevant as an authentic lesson in decision-analysis, past and present.