Literature DB >> 34240283

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

Daniel N Ricotta1,2, Andrew J Hale3,4, Jason A Freed5,6, Tara E Scribner3,4, Mark L Zeidel5,6, Shoshana J Herzig5,6.   

Abstract

BACKGROUND: Few 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. AIM: To inspire general internists to relearn and teach physiology in clinical practice.
SETTING: An active biomedical research laboratory. PARTICIPANTS: We 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.
© 2021. Society of General Internal Medicine.

Entities:  

Keywords:  comparative physiology; faculty development; mechanistic thinking; quality improvement

Mesh:

Year:  2021        PMID: 34240283      PMCID: PMC8642589          DOI: 10.1007/s11606-021-06978-0

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  16 in total

1.  Educating for the 21st-Century Health Care System: An Interdependent Framework of Basic, Clinical, and Systems Sciences.

Authors:  Jed D Gonzalo; Paul Haidet; Klara K Papp; Daniel R Wolpaw; Eileen Moser; Robin D Wittenstein; Terry Wolpaw
Journal:  Acad Med       Date:  2017-01       Impact factor: 6.893

2.  Diagnostic error in internal medicine.

Authors:  Mark L Graber; Nancy Franklin; Ruthanna Gordon
Journal:  Arch Intern Med       Date:  2005-07-11

Review 3.  Career choice in academic medicine: systematic review.

Authors:  Sharon E Straus; Christine Straus; Katina Tzanetos
Journal:  J Gen Intern Med       Date:  2006-12       Impact factor: 5.128

4.  The importance of basic science and research training for the next generation of physicians and physician scientists.

Authors:  Donald B DeFranco; Gwendolyn Sowa
Journal:  Mol Endocrinol       Date:  2014-12

5.  State of Research in Adult Hospital Medicine: Results of a National Survey.

Authors:  Vineet Chopra; Marisha Burden; Christine D Jones; Stephanie Mueller; Vineet Gupta; Neera Ahuja; Alana Sigmund; Shaker M Eid
Journal:  J Hosp Med       Date:  2019-04       Impact factor: 2.960

6.  From hagfish to humans: teaching comparative physiology to internal medicine residents.

Authors:  Shoshana J Herzig; William C Aird; Brijen J Shah; Michael McKernan; Mark L Zeidel
Journal:  Acad Med       Date:  2012-03       Impact factor: 6.893

7.  Research and publication trends in hospital medicine.

Authors:  An N Dang Do; Amy M Munchhof; Colin Terry; Thomas Emmett; Areeba Kara
Journal:  J Hosp Med       Date:  2014-03       Impact factor: 2.960

8.  Preparing medical students for future learning using basic science instruction.

Authors:  Maria Mylopoulos; Nicole Woods
Journal:  Med Educ       Date:  2014-07       Impact factor: 6.251

9.  Why Is a Cow? Curiosity, Tweetorials, and the Return to Why.

Authors:  Anthony C Breu
Journal:  N Engl J Med       Date:  2019-09-19       Impact factor: 91.245

10.  Associations between resident physicians' publications and clinical performance during residency training.

Authors:  Luke A Seaburg; Amy T Wang; Colin P West; Darcy A Reed; Andrew J Halvorsen; Gregory Engstler; Amy S Oxentenko; Thomas J Beckman
Journal:  BMC Med Educ       Date:  2016-01-19       Impact factor: 2.463

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  1 in total

1.  Research Trends and Impact Factor on PubMed Among General Medicine Physicians in Japan: A Cross-Sectional Bibliometric Analysis.

Authors:  Takashi Watari; Yasuhisa Nakano; Ashwin Gupta; Minami Kakehi; Ayuko Tokonami; Yasuharu Tokuda
Journal:  Int J Gen Med       Date:  2022-09-14
  1 in total

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