A case-based teaching module combined with audit and feedback to improve the quality of consultations. Wright, R., Howell, E., Landis, R., Wright, S., Kisuule, F., & Minter Jordan, M. Journal of Hospital Medicine, 4(8):486–489, October, 2009. 00000
Paper doi abstract bibtex BACKGROUND: Medical consultation is an integral part of hospitalist physicians’ practice, yet there is no uniform training to achieve competency in this area during residency. OBJECTIVE: To improve the quality of medical consultations performed by hospitalists in an academic medical center. DESIGN: Single group pre-post study design comparing knowledge and behaviors after exposing physicians to an educational intervention. SETTING: Johns Hopkins Bayview Medical Center, 2006-2007. PARTICIPANTS: Seven hospitalist faculty members, and 12 internal medicine house-staff members, who served on the medical consultation service during the study period. INTERVENTION: Participants were exposed to an educational intervention consisting of a case-based module teaching the principles of medical consultation, as well as audit and feedback in which they critically reviewed their most recent written consultations. MEASUREMENTS: Pretests and posttests were used to assess knowledge. Performance and physician behaviors were assessed following the intervention; consultations done by hospitalists in the months prior to the educational intervention were scored and compared to their postintervention consultations. Wilcoxon signed rank tests and paired t tests were used for the analyses. RESULTS: Improvement in the median knowledge score (pretest vs. posttest) was significant only for house-staff and not for faculty (10/14 vs. 12/14, P ¼ 0.03 and 11/14 vs. 12/14, P ¼ 0.08, respectively). The quality of consults written by all hospitalists improved after the educational intervention; the mean scores increased from 2.7 to 3.3 (P ¼ 0.0006). CONCLUSIONS: This curricular intervention including audit and feedback was effective in improving the quality of medical consultations performed by hospitalist physicians. Journal of Hospital Medicine 2009;4:486–489. VC 2009 Society of Hospital Medicine.
@article{wright_case-based_2009,
title = {A case-based teaching module combined with audit and feedback to improve the quality of consultations},
volume = {4},
issn = {15535592, 15535606},
url = {http://www.journalofhospitalmedicine.com/jhospmed/article/126880/consultation-improvement-teaching-module},
doi = {10/fbrg84},
abstract = {BACKGROUND: Medical consultation is an integral part of hospitalist physicians’ practice, yet there is no uniform training to achieve competency in this area during residency.
OBJECTIVE: To improve the quality of medical consultations performed by hospitalists in an academic medical center. DESIGN: Single group pre-post study design comparing knowledge and behaviors after exposing physicians to an educational intervention. SETTING: Johns Hopkins Bayview Medical Center, 2006-2007. PARTICIPANTS: Seven hospitalist faculty members, and 12 internal medicine house-staff members, who served on the medical consultation service during the study period. INTERVENTION: Participants were exposed to an educational intervention consisting of a case-based module teaching the principles of medical consultation, as well as audit and feedback in which they critically reviewed their most recent written consultations.
MEASUREMENTS: Pretests and posttests were used to assess knowledge. Performance and physician behaviors were assessed following the intervention; consultations done by hospitalists in the months prior to the educational intervention were scored and compared to their postintervention consultations. Wilcoxon signed rank tests and paired t tests were used for the analyses.
RESULTS: Improvement in the median knowledge score (pretest vs. posttest) was significant only for house-staff and not for faculty (10/14 vs. 12/14, P ¼ 0.03 and 11/14 vs. 12/14, P ¼ 0.08, respectively). The quality of consults written by all hospitalists improved after the educational intervention; the mean scores increased from 2.7 to 3.3 (P ¼ 0.0006).
CONCLUSIONS: This curricular intervention including audit and feedback was effective in improving the quality of medical consultations performed by hospitalist physicians. Journal of Hospital Medicine 2009;4:486–489. VC 2009 Society of Hospital Medicine.},
language = {en},
number = {8},
urldate = {2019-07-25},
journal = {Journal of Hospital Medicine},
author = {Wright, Renee and Howell, Eric and Landis, Regina and Wright, Scott and Kisuule, Flora and Minter Jordan, Myechia},
month = oct,
year = {2009},
note = {00000},
pages = {486--489}
}
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DESIGN: Single group pre-post study design comparing knowledge and behaviors after exposing physicians to an educational intervention. SETTING: Johns Hopkins Bayview Medical Center, 2006-2007. PARTICIPANTS: Seven hospitalist faculty members, and 12 internal medicine house-staff members, who served on the medical consultation service during the study period. INTERVENTION: Participants were exposed to an educational intervention consisting of a case-based module teaching the principles of medical consultation, as well as audit and feedback in which they critically reviewed their most recent written consultations. MEASUREMENTS: Pretests and posttests were used to assess knowledge. Performance and physician behaviors were assessed following the intervention; consultations done by hospitalists in the months prior to the educational intervention were scored and compared to their postintervention consultations. Wilcoxon signed rank tests and paired t tests were used for the analyses. RESULTS: Improvement in the median knowledge score (pretest vs. posttest) was significant only for house-staff and not for faculty (10/14 vs. 12/14, P ¼ 0.03 and 11/14 vs. 12/14, P ¼ 0.08, respectively). The quality of consults written by all hospitalists improved after the educational intervention; the mean scores increased from 2.7 to 3.3 (P ¼ 0.0006). CONCLUSIONS: This curricular intervention including audit and feedback was effective in improving the quality of medical consultations performed by hospitalist physicians. Journal of Hospital Medicine 2009;4:486–489. 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DESIGN: Single group pre-post study design comparing knowledge and behaviors after exposing physicians to an educational intervention. SETTING: Johns Hopkins Bayview Medical Center, 2006-2007. PARTICIPANTS: Seven hospitalist faculty members, and 12 internal medicine house-staff members, who served on the medical consultation service during the study period. INTERVENTION: Participants were exposed to an educational intervention consisting of a case-based module teaching the principles of medical consultation, as well as audit and feedback in which they critically reviewed their most recent written consultations.\nMEASUREMENTS: Pretests and posttests were used to assess knowledge. Performance and physician behaviors were assessed following the intervention; consultations done by hospitalists in the months prior to the educational intervention were scored and compared to their postintervention consultations. 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