Evidence map›Paper›PMID 39356449›Full record

ArticleJournal of general internal medicine2025

The Organization of Academic General Internal Medicine Practice at the Top Primary Care Schools.

Lisa Rotenstein, Jeanette Wong, Stacie Schmidt, Nancy LaVine, Julie Oyler, Urmimala Sarkar

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. 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
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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.

Lisa RotensteinUniversity of California San Francisco, San Francisco, CA, USA.
Jeanette WongUniversity of California San Francisco, San Francisco, CA, USA.
Stacie SchmidtEmory University, Atlanta, GA, USA.
Nancy LaVineNorthwell Health, New Hyde Park, NY, USA.
Julie OylerUniversity of Chicago, Chicago, IL, USA.
Urmimala SarkarUniversity of California San Francisco, San Francisco, CA, USA. Urmimala.Sarkar@ucsf.edu.ORCID 0000-0003-4213-4405

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile prior studies have explored staffing infrastructure for primary care practices in general, little is known about the range of academic primary care practice models and supports available for academic general internists.

objectiveTo characterize the range of practice arrangements and expectations for attending academic physicians in general internal medicine (GIM) practices at the top 22 medical schools across the USA.

designCross-sectional survey administered electronically between October 30, 2022, and December 28, 2022.

participantsClinical leaders in GIM at the top 22 primary care medical schools, as identified by the 2023 US News and World Report Rankings. MAIN MEASURES: Clinical load, productivity expectations, cross-coverage, and team-based care models. KEY

resultsTwenty-two leaders responded, representing 68% (15/22) of medical schools surveyed. The practices were mostly in urban locations (18/22, 82%) and 86% (19/22) included residents. Practices ranged from 7 to 200 PCPs and from 3 to 112 clinical FTEs. A full-time (1.0 FTE) clinical role for academic attending GIM physicians entailed a median of 9 (IQR 8, 10) weekly half-day clinic sessions, with a median panel size expectation of 1600 (IQR 1450, 1850) patients and a median yearly RVU expectation of 5200 (IQR 4161, 5891) yearly RVUs generated. Staff support was most commonly present for prescription refills and patient portal message checks. It was less commonly available for time sensitive form completion. Occasional clinical coverage for other physicians was an expectation at all practices.

conclusionsIn this study, we characterize the organization of and supports available in academic GIM practices affiliated with the top primary care medical schools. Our findings provide comparative information for leaders of academic GIM practices seeking to enhance primary care delivery for their faculty and trainees. They also highlight areas where standardization may be beneficial across academic GIM.

Indexed as

Academic Medical CentersInternal MedicinePrimary Health CareSchools, MedicalCross-Sectional StudiesHumansSurveys and QuestionnairesUnited StatesAcademic general internal medicineCross coveragePractice modelsProductivity expectationsTeam-based care

Identifiers

PMID39356449
PMCPMC11968575

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.