Evidence map›Paper›PMID 29299817›Full record

ArticleJournal of general internal medicine2018

Two Novel Urban Health Primary Care Residency Tracks That Focus On Community-Level Structural Vulnerabilities.

Benjamin J Oldfield, Bennett W Clark, Monica C Mix, Katherine C Shaw, Janet R Serwint, Sanjay V Desai, Rachel M Kruzan, Rosalyn W Stewart, Sebastian Ruhs, Leonard S Feldman

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Otolaryngology residency program factors associated with female resident representation.World journal of otorhinolaryngology - head and neck surgery · 2024
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Benjamin J OldfieldDepartment of Medicine, Yale School of Medicine, New Haven, CT, USA. benjamin.oldfield@yale.edu.
Bennett W ClarkDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Monica C MixDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Katherine C ShawDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Janet R SerwintDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Sanjay V DesaiDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Rachel M KruzanDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Rosalyn W StewartDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Sebastian RuhsChase Brexton Health Care, Baltimore, MD, USA.
Leonard S FeldmanDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
6 · The paper itself

Abstract

backgroundAlthough residency programs are well situated for developing a physician workforce with knowledge, skills, and attitudes that incorporate the strengths and reflect the priorities of community organizations, few curricula explicitly do so.

aimTo develop urban health primary care tracks for internal medicine and combined internal medicine-pediatrics residents.

settingAcademic hospital, community health center, and community-based organizations.

participantsInternal medicine and combined internal medicine-pediatrics residents. PROGRAM DESCRIPTION: The program integrates community-based experiences with a focus on stakeholder engagement into its curriculum. A significant portion of the training (28 weeks out of 3 years for internal medicine and 34 weeks out of 4 years for medicine-pediatrics) occurs outside the hospital and continuity clinic to support residents' understanding of structural vulnerabilities. PROGRAM EVALUATION: Sixteen internal medicine and 14 medicine-pediatrics residents have graduated from our programs. Fifty-six percent of internal medicine graduates and 79% of medicine-pediatrics graduates are seeking primary care careers, and eight overall (27%) have been placed in community organizations. Seven (23%) hold leadership positions. DISCUSSION: We implemented two novel residency tracks that successfully placed graduates in community-based primary care settings. Integrating primary care training with experiences in community organizations can create primary care leaders and may foster collective efficacy among medical centers and community organizations.

Indexed as

Urban Health ServicesVulnerable PopulationsCommunity Health ServicesHumansInternship and ResidencyPrimary Health Carecommunity-based interventionspostgraduate medical educationprimary caresocioeconomic factors

Identifiers

PMID29299817
PMCPMC6258596

What OpenQuestion holds

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Registered trials

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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.