Evidence map›Paper›PMID 31024643›Full record

ArticleJournal of graduate medical education2019

A Decade of Teaching and Learning in Internal Medicine Ambulatory Education: A Scoping Review.

Andrew Coyle, Ira Helenius, Christina M Cruz, E Allison Lyons, Natalie May, John Andrilli, M Merav Bannet, Rachel Pinotti, David C Thomas

Abstract readScoping Review
In one paragraph

Article in Journal of graduate medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  8. Ambulatory Education: Time to Move From Process to Outcome.Journal of graduate medical education · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Andrew Coyle
Ira Helenius
Christina M Cruz
E Allison Lyons
Natalie May
John Andrilli
M Merav Bannet
Rachel Pinotti
David C Thomas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmbulatory training in internal medicine residency programs has historically been considered less robust than inpatient-focused training, which prompted a 2009 revision of the Accreditation Council for Graduate Medical Education (ACGME) Program Requirements in Internal Medicine. This revision was intended to create a balance between inpatient and outpatient training standards and to spur innovation in the ambulatory setting.

objectiveWe explored innovations in ambulatory education in internal medicine residency programs since the 2009 revision of the ACGME Program Requirements in Internal Medicine.

methodsThe authors conducted a scoping review of the literature from 2008 to 2017, searching PubMed, ERIC, and Scopus databases. Articles related to improving educational quality of ambulatory components of US-based internal medicine residency programs were eligible for inclusion. Articles were screened for relevance and theme categorization and then divided into 6 themes: clinic redesign, curriculum development, evaluating resident practice/performance, teaching methods, program evaluation, and faculty development. Once a theme was assigned, data extraction and quality assessment using the Medical Education Research Study Quality Instrument (MERSQI) score were completed.

resultsA total of 967 potentially relevant articles were discovered; of those, 182 were deemed relevant and underwent full review. Most articles fell into curriculum development and clinic redesign themes. The majority of included studies were from a single institution, used nonstandardized tools, and assessed outcomes at the satisfaction or knowledge/attitude/skills levels. Few studies showed behavioral changes or patient-level outcomes.

conclusionsWhile a rich diversity of educational innovations have occurred since the 2009 revision of the ACGME Program Requirements in Internal Medicine, there is a significant need for multi-institution studies and higher-level assessment.

Indexed as

Ambulatory CareCurriculumFaculty, MedicalHumansInternal MedicineInternship and ResidencyProgram EvaluationTeachingUnited States

Identifiers

PMID31024643
PMCPMC6476084

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.