Journal of general internal medicine
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Randomized Controlled Trial Comparative Study
Effect of rater training on reliability and accuracy of mini-CEX scores: a randomized, controlled trial.
Mini-CEX scores assess resident competence. Rater training might improve mini-CEX score interrater reliability, but evidence is lacking. ⋯ clinicaltrials.gov identifier NCT00667940
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Randomized Controlled Trial Comparative Study
Engaging homeless persons in end of life preparations.
There are no prospective studies that have investigated the effects of an intervention to improve end of life (EOL) care in an underserved population. ⋯ This study demonstrates that people living in dire economic and social situations will complete an AD when offered the opportunity. While offering guidance resulted in higher rates of completion; even a simple self-guided AD process can achieve completion of ADs in this population.
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Randomized Controlled Trial Comparative Study
A randomized controlled trial of team-based care: impact of physician-pharmacist collaboration on uncontrolled hypertension.
Evaluate the effectiveness of collaborative management of hypertension by primary care-pharmacist teams in community-based clinics. ⋯ Patients randomized to collaborative primary care-pharmacist hypertension management achieved significantly better blood pressure control compared to usual care with no difference in quality of life or satisfaction.
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Randomized Controlled Trial
Physician personality characteristics and inquiry about mood symptoms in primary care.
Depression treatment is often initially sought from primary care physicians. ⋯ The clinical, educational, and translational, implications of research showing that physician personality traits could affect practice behaviors warrant consideration. Current models of treatment for depression in primary care could be engineered to accommodate the variability in physician personality. Given that there is no single "correct" way to ask about mood disorders or suicide, clinicians are encouraged to adopt an approach that fits their personal style and preferences.
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Randomized Controlled Trial
Impact of an evidence-based medicine curriculum on resident use of electronic resources: a randomized controlled study.
Evidence-based medicine (EBM) is widely taught in residency, but evidence for effectiveness of EBM teaching on changing residents' behavior is limited. ⋯ EBM teaching improved EBM knowledge and increased use of evidence-based resources by residents, but did not improve performance on Web-based clinical vignettes. Future studies will need to examine impact of EBM teaching on clinical outcomes.