Evidence map›Paper›PMID 30154977›Full record

ArticleJournal of graduate medical education2018

Intern Transitions of Care Curriculum Through Posthospital Home and Skilled Nursing Facility Visits.

Rachel K Miller, Shimrit Keddem, Samuel Katz, Zachary Smith, Christina R Whitehouse, Karen Goldstein, Karen B Hirschman, Jerry C Johnson

Abstract read
In one paragraph

Article in Journal of graduate medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Medical Training in Home Care Medicine: The Time is Now.Journal of general internal medicine · 2022
    Article
  3. Article
  4. Article
  5. 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

8 authors.

Rachel K Miller
Shimrit Keddem
Samuel Katz
Zachary Smith
Christina R Whitehouse
Karen Goldstein
Karen B Hirschman
Jerry C Johnson

Funding

HSRD VA IK2 HX001540
6 · The paper itself

Abstract

backgroundTransitions of care pose significant risks for patients with complex medical histories. There are few experiential medical education curricula targeting this important aspect of care.

objectiveWe designed and tested an internal medicine transitions of care experience integrated into interns' ambulatory curriculum.

methodsThe program included 1-hour group didactics, a posthospitalization discharge visit in pairs with a home care nurse (cohort 1: 2011-2012; cohort 2: 2012-2013), and a half-day small-group visit to a skilled nursing facility led by a faculty member in geriatrics (cohort 2 only). Both visits had structured debriefings by faculty in geriatrics. For cohort 1, a quantitative follow-up survey was administered 18 to 20 months after the experience. For cohort 2, reflections were analyzed.

resultsThirty-three of 42 second-year residents (79%) in cohort 1 who participated in didactics and a home visit completed the survey. Seventy-six percent (25 of 33) reported increased knowledge of interprofessional team members' roles and the discharge process for patients with complex medical histories. Seventy-nine percent (26 of 33) reported continued use of medication reconciliation at discharge, and 64% (21 of 33) reported the experience enhanced their ability to identify threats to transitions. Of cohort 2 interns, 88% (42 of 48) participated in the home visit and 69% (33 of 48) in the skilled nursing facility visit. Intern reflections revealed insights gained, incomprehensive discharge plans, posthospital health care teams, and patients' postdischarge experience.

conclusionsAn experiential transitions of care curriculum is feasible and acceptable. Residents reported using the curriculum 18 to 20 months after exposure.

Indexed as

Clinical CompetenceContinuity of Patient CareCurriculumHome Care ServicesInternship and ResidencySkilled Nursing FacilitiesAgedCohort StudiesFaculty, MedicalGeriatricsHealth Knowledge, Attitudes, PracticeHouse CallsHumansInternal MedicineMedication ReconciliationMental Processes

Identifiers

PMID30154977
PMCPMC6108372

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.