Evidence map›Paper›PMID 34240283›Full record

ArticleJournal of general internal medicine2021

Generalists as Clinical Physiologists: Bringing Science Back to the Bedside.

Daniel N Ricotta, Andrew J Hale, Jason A Freed, Tara E Scribner, Mark L Zeidel, Shoshana J Herzig

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2021. 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
0.4field-weighted citation impact, top 38% of its field
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, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 at 2 institutions in 1 country.

Daniel N RicottaDepartment of Medicine, Beth Israel Deaconess Medical Center, Shapiro Institute for Education and Research, Boston, MA, 02215, USA. dricotta@bidmc.harvard.edu.ORCID 0000-0002-6851-2059
Andrew J HaleRobert Larner MD College of Medicine, Burlington, VT, USA.
Jason A FreedDepartment of Medicine, Beth Israel Deaconess Medical Center, Shapiro Institute for Education and Research, Boston, MA, 02215, USA.
Tara E ScribnerRobert Larner MD College of Medicine, Burlington, VT, USA.
Mark L ZeidelDepartment of Medicine, Beth Israel Deaconess Medical Center, Shapiro Institute for Education and Research, Boston, MA, 02215, USA.
Shoshana J HerzigDepartment of Medicine, Beth Israel Deaconess Medical Center, Shapiro Institute for Education and Research, Boston, MA, 02215, USA.
Beth Israel Deaconess Medical Center · USUniversity of Vermont · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew generalists engage in basic science research or feel comfortable teaching physiology at the bedside. This may reflect a lack of understanding or confidence teaching physiologic principles.

aimTo inspire general internists to relearn and teach physiology in clinical practice.

settingAn active biomedical research laboratory.

participantsWe educated 67 faculty participants (4 primary care, 59 hospitalists, and 4 other specialties) from 24 medical centers, representing 17 states. PROGRAM DESCRIPTION: The 5-day course was structured around re-learning basic physiology principles and developing teaching skills. Participants engaged in hands-on experiments through 4 modules using aquatic species, each paired with a physiology content primer. Participants also developed teaching scripts based on their experiments. PROGRAM EVALUATION: Post-course surveys revealed that 97% felt confident teaching physiology at the bedside, 100% felt the course enhanced their understanding of the mechanisms of disease, and there was a significant improvement in self-reported teaching ability. DISCUSSION: An immersive, hands-on faculty development course that integrated physiology with clinical decision-making increased participants' comfort level and self-rated ability to teach and incorporate physiology in their clinical work. We believe faculty development is one potential solution to the growing chasm between clinicians and scientists in general medicine.

Indexed as

HospitalistsMedicineCurriculumFaculty, MedicalHumansTeachingcomparative physiologyfaculty developmentmechanistic thinkingquality improvement

Identifiers

PMID34240283
PMCPMC8642589
OpenAlexW3183017925

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.