Evidence map›Paper›PMID 27439977›Full record

ArticleJournal of general internal medicine2016

Improving Ambulatory Training in Internal Medicine: X + Y (or Why Not?).

Alaka Ray, Danielle Jones, Kerri Palamara, Maryann Overland, Kenneth P Steinberg

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. X + Y (or Why Not?).Journal of general internal medicine · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Alaka RayMassachusetts General Hospital/Harvard Medical School, 15 Parkman Street, Wang 635, Boston, MA, 02114, USA. aray2@partners.org.
Danielle JonesEmory University School of Medicine, Atlanta, GA, USA.
Kerri PalamaraMassachusetts General Hospital/Harvard Medical School, 15 Parkman Street, Wang 635, Boston, MA, 02114, USA.
Maryann OverlandUniversity of Washington School of Medicine, Seattle, WA, USA.
Kenneth P SteinbergUniversity of Washington School of Medicine, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Accreditation Council for Graduate Medical Education (ACGME) requirement that internal medicine residents spend one-third of their training in an ambulatory setting has resulted in programmatic innovation across the country. The traditional weekly half-day clinic model has lost ground to the block or "X + Y" clinic model, which has gained in popularity for many reasons. Several disadvantages of the block model have been reported, however, and residency programs are caught between the threat of old and new challenges. We offer the perspectives of three large residency programs (University of Washington, Emory University, and Massachusetts General Hospital) that have successfully navigated scheduling challenges in our individual settings without implementing the block model. By sharing our innovative non-block models, we hope to demonstrate that programs can and should create the solution that fits their individual needs.

Indexed as

Ambulatory CareAmbulatory Care FacilitiesHumansInternal MedicineInternship and ResidencyPersonnel Staffing and Schedulingambulatory trainingclinic schedulingmedical educationoutpatient educationresident continuity clinic

Identifiers

PMID27439977
PMCPMC5130949

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.