Evidence map›Paper›PMID 32875511›Full record

ArticleJournal of general internal medicine2020

Decisions in the Dark: An Educational Intervention to Promote Reflection and Feedback on Night Float Rotations.

Hana Lim, Katie E Raffel, James D Harrison, R Jeffrey Kohlwes, Gurpreet Dhaliwal, Sirisha Narayana

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. How to Keep Training-After Residency Training.Journal of general internal medicine · 2022
    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

6 authors.

Hana LimDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA. Hanalim@gmail.com.ORCID 0000-0002-9447-1289
Katie E RaffelDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
James D HarrisonDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
R Jeffrey KohlwesDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Gurpreet DhaliwalDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Sirisha NarayanaDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
UCSF Learning Health System K12 Career Development ProgramK12HS026383 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GONZALES, RALPH, SARKAR, URMIMALA · 2018 to 2022
$3.6M
AHRQ HHS K12 HS026383NCATS NIH HHS KL2 TR001870
6 · The paper itself

Abstract

backgroundNight float rotations, where residents admit patients to the hospital, are opportunities for practice-based learning. However, night float residents receive little feedback on their diagnostic and management reasoning, which limits learning.

aimImprove night float residents' practice-based learning skills through feedback solicitation and chart review with guided reflection. SETTING/

participantsSecond- and third-year internal medicine residents on a 1-month night float rotation between January and August 2017. PROGRAM DESCRIPTION: Residents performed chart review of a subset of patients they admitted during a night float rotation and completed reflection worksheets detailing patients' clinical courses. Residents solicited feedback regarding their initial management from day team attending physicians and senior residents. PROGRAM EVALUATION: Sixty-eight of 82 (83%) eligible residents participated in this intervention. We evaluated 248 reflection worksheets using content analysis. Major themes that emerged from chart review included residents' identification of future clinical practice changes, evolution of differential diagnoses, recognition of clinical reasoning gaps, and evaluation of resident-provider interactions. DISCUSSION: Structured reflection and feedback during night float rotations is an opportunity to improve practice-based learning through lessons on disease progression, clinical reasoning, and communication.

Indexed as

Internship and ResidencyWork Schedule ToleranceFeedbackHumansMedical Staff, HospitalPersonnel Staffing and Schedulingfeedbacknight floatreflectionresidency

Identifiers

PMID32875511
PMCPMC7661589

What OpenQuestion holds

Textmetadata
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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.