Wendy Levinson

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..We also consider the potential positive and negative consequences of a predominantly female physician workforce on these domains...

..Many physicians receive financial incentives to limit their ordering of expensive tests and procedures. While Medicare mandates disclosure of incentives, it is not clear how to inform patients without undermining trust...

..The Institute of Medicine calls for physicians to engage patients in making clinical decisions, but not every patient may want the same level of participation...

..Our objectives were: (1) to examine how much surgeons like their patients and (2) to assess the relationship of surgeons' liking to patient and surgeon characteristics and to patient satisfaction...

..This article also includes a description of the changing policy environment in North America that is encouraging and mandating disclosure of errors...

..The process the authors describe is applicable to multiple academic units, including divisions/sections, departments, or thematic programs in AHCs...

..quot; This article describes the typical job description, training pathway, and rewards and challenges for each path for students and residents considering a career in academic general internal medicine...

..Specific suggestions are provided for physician leaders and administrators who are considering similar programs in their settings...

..Understanding racial disparities in communication is essential to provide quality care to all patients...

..We examined the extent of unmet needs and barriers to accessing health care among homeless people within a universal health insurance system...

..Study findings point to multilevel strategies including cultural, structural, and educational approaches to enhancing the key roles that nurses need to play in error disclosure to patients and families...

..Scholars and governmental reports have advocated for increased public involvement in wait time management. We provide empirically derived recommendations for public engagement in a wait time management initiative...

..g., social capital) and their influence on the health of homeless individuals...

..How physicians should determine these preferences is unclear...

..The objectives of this study were to explore the nature of patient concerns regarding orthopaedic surgery and to describe how patients raise concerns during visits with orthopaedic surgeons and how orthopaedic surgeons respond...

..Intimate partner violence and control (IPVC) is prevalent and can be a serious health risk to women...

..We sought to determine the lifetime prevalence of traumatic brain injury and its association with current health conditions in a representative sample of homeless people in Toronto, Ontario...

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..The objective of this study was to determine the prevalence and characteristics of drug use among a representative sample of homeless individuals and to examine the association between drug problems and physical and mental health status...

..To determine internal medicine (IM) residents' ability to disclose a medical error using standardized patients (SPs) and to survey residents' experiences of disclosure...

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..An increasing number of patients bring Internet-based health information to medical consultations. However, little is known about how physicians experience, manage, and view these patients...

..Programs should be developed to teach surgeons how to communicate more effectively with patients about errors...

..Selective error reporting and the reasons for selective reporting have negative implications for patient safety...

..The purpose of this study is to describe and evaluate priority setting for the Ontario Wait Time Strategy, with special attention to public engagement...

..In this study, we describe and compare operative team members' and patients' perceptions of error, reporting of error, and disclosure of error...

..The firsthand experience of physicians using computer-assisted health-risk assessment is salient for designing practical eHealth solutions...

..To investigate the prevalence of violence involving intimate partners among women visiting Canadian family practices and to assess participants' attitudes toward future use of computer-assisted screening for violence and other health risks...

..The authors describe some of the benefits and drawbacks of part-time work, and they offer advice for faculty members seeking part-time careers and for leaders seeking to employ them...

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..The case considered is the Ontario (Canada) government's decision to restrict access to positron emission tomography (PET) scans until further evidence becomes available...

..To address this knowledge gap, a study was undertaken to explore the perceptions associated with an educational simulation intervention for team-based error disclosure...

..CPA is consistent with the Department of Medicine's goal of achieving excellence through original research, education, or creative work that advances the care of patients...

..The authors touch on possible incentives to make such integrated models of CME and QI attractive to practitioners...

..6 billion per year. The results support the opinion shared by many US health care leaders interviewed for this study that interactions between physician practices and health plans could be performed much more efficiently...

..This study was designed to explore the quality of informed decision-making in orthopaedic practice and to identify excellent time-efficient examples with older patients...

..The model provides a dynamic, dyadic, framework for building scientific hypotheses about the etiologies and consequences of health, well-being, and disease throughout the life course...

..Little is known about how physicians approach disclosure. The objective of the present study was to describe how physicians disclose errors to patients...

..Physician self-disclosure (PSD) has been alternatively described as a boundary violation or a means to foster trust and rapport with patients. We analyzed a series of physician self-disclosure statements to inform the current controversy...

..Physician self-disclosure has been viewed either positively or negatively, but little is known about how patients respond to physician self-disclosure...

..We characterize communication in an urban, academic medical center emergency department (ED) with regard to the timing and nature of the medical history survey and physical examination and discharge instructions...

..Standardised patients (SPs) are effective in evaluating communication skills, but not every training site may have the resources to develop and maintain SP programmes...

..We believe these changes constitute a paradigm shift that can benefit patients and the public and reenergize general internal medicine...

..Physicians should be alert to patients' implicit expressions of concern about conflicts of interest, and practice communication techniques for responding to these concerns effectively...

..Disclosure of errors to patients is desired by patients and recommended by ethicists and professional organizations, but little is known about how patients and physicians think medical errors should be discussed...

..Specific types of affect associated with claims can be judged from brief audio clips, suggesting that this method might be useful in training surgeons...

..Concern regarding financial conflict of interest for physicians has led to calls for disclosure of financial incentives to patients. However, limited data on the outcomes of disclosure exist to guide policy...

..Entry into general internal medicine (GIM) has declined. The effect of the inpatient general medicine rotation on medical student career choices is uncertain...

..Yet, little is known about the malpractice environment's actual effect on physicians' error disclosure attitudes and experiences...

..To measure trainees' attitudes and experiences regarding medical error and error disclosure...

..Efforts to promote error reporting might not reach their potential unless physicians become more effectively engaged in reporting errors at their institutions...

..Being involved in medical errors can compound the job-related stress many physicians experience. The impact of errors on physicians was examined...

..Hospitalists may decrease costs and improve outcomes in hospitalized patients, but existing evidence is limited and has not identified mechanisms for such effects...

..Women who are victims of domestic violence frequently seek care in an emergency department. However, it is challenging to hold sensitive conversations in this environment...

..Despite the aging of the population, little is known about the sexual behaviors and sexual function of older people...

..These measures will help restore the essential element of superb healthcare: a strong doctor-patient relationship...

..For these problems, where high-level evidence exists, specific psychosocial questions for screening and case finding are provided...

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..The study also forms the scientific foundation of a major education initiative by the AAOS designed to improve the communication skills of surgeons and ultimately the care of patients. ..