Research Topics
| Eric HolmboeSummaryAffiliation: American Board of Internal Medicine Country: USA Publications
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Detail Information
Publications
Primary care physicians, office-based practice, and the meaning of quality improvementEric Holmboe
American Board of Internal Medicine, Philadelphia, PA 19160, USA
Am J Med 118:917-22. 2005
Outcomes-based evaluation in resident education: creating systems and structured portfoliosEric S Holmboe
American Board of Internal Medicine, Philadelphia, PA 19106, USA
Am J Med 119:708-14. 2006
Commentary: realizing the formative potential of multisource feedback in regulatory-based assessment programsEric S Holmboe
American Board of Internal Medicine, Philadelphia, PA 19106, USA
Acad Med 87:1657-9. 2012..Ultimately, a formative assessment approach is only as good as the quality of care it detects and improves for the benefit of patients and the public...
Comparative trial of a web-based tool to improve the quality of care provided to older adults in residency clinics: modest success and a tough road aheadEric S Holmboe
American Board of Internal Medicine, Philadelphia, Pennsylvania 19106, USA
Acad Med 87:627-34. 2012..To determine whether residency programs can use a multicomponent, Web-based quality improvement tool to improve the care of older adults...
Improving the quality of care via maintenance of certification and the Web: an early status reportEric S Holmboe
American Board of Internal Medicine, Philadelphia, PA 19106, USA
Perspect Biol Med 51:71-83. 2008..Specifically, we describe how the ABIM developed and implemented Web-based practice improvement modules (PIMs) to help physicians measure and improve their clinical practice...
The rotational approach to medical education: time to confront our assumptions?Eric Holmboe
American Board of Internal Medicine, Philadelphia, Pennsylvania 19106, USA
Med Educ 45:69-80. 2011..Many assumptions about the presumed benefits of clinical rotations have become pervasive despite a lack of empirical evidence on their optimal timing and structure, and on how transitions between clinical rotations should occur...
Teaching and improving quality of care in a primary care internal medicine residency clinicEric S Holmboe
American Board of Internal Medicine, Suite 1700, 510 Walnut Street, Philadelphia, PA 19160, USA
Acad Med 80:571-7. 2005..Future research should include more focus on the microsystems of residency outpatient experiences...
The role of physicians and certification boards to improve qualityEric S Holmboe
American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19106, USA
Am J Med Qual 22:18-25. 2007....
The effects of patient volume on the quality of diabetic care for Medicare beneficiariesEric S Holmboe
Qualidigm, Middletown, Connecticut, USA
Med Care 44:1073-7. 2006..The quality of care for Medicare beneficiaries with diabetes remains suboptimal. The contributing factors at the physician level are not well characterized, especially the relationship of patient volume and physician performance...
The role of assessment in competency-based medical educationEric S Holmboe
American Board of Internal Medicine, USA
Med Teach 32:676-82. 2010..Finally, we must remember that expertise, not competence, is the ultimate goal. CBME does not end with graduation from a training program, but should represent a career that includes ongoing assessment...
Reforming internal medicine residency training. A report from the Society of General Internal Medicine's task force for residency reformEric S Holmboe
American Board of Internal Medicine, Philadelphia, PA 19106, USA
J Gen Intern Med 20:1165-72. 2005
Current yardsticks may be inadequate for measuring quality improvements from the medical homeEric S Holmboe
American Board of Internal Medicine, Philadelphia, PA, USA
Health Aff (Millwood) 29:859-66. 2010....
Faculty development in assessment: the missing link in competency-based medical educationEric S Holmboe
American Board of Internal Medicine, Philadelphia, Pennsylvania 19106, USA
Acad Med 86:460-7. 2011..The public, patients, and trainees need the medical education enterprise to improve training and outcomes now...
Simulation-based assessment and the regulation of healthcare professionalsEric Holmboe
American Board of Internal Medicine, 510 Walnut Street, Philadelphia, PA 19106, USA
Simul Healthc 6:S58-62. 2011..The findings support the view that simulation-based assessments can make a meaningful and positive difference in credentialing, licensing, and certification programs now...
Assessing quality of care: knowledge mattersEric S Holmboe
American Board of Internal Medicine, Philadelphia, Pennsylvania 19106, USA
JAMA 299:338-40. 2008
The association of faculty and residents' gender on faculty evaluations of internal medicine residents in 16 residenciesEric S Holmboe
American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19160, USA
Acad Med 84:381-4. 2009..The purpose of this study was to investigate the association of faculty and residents' gender on the evaluation of residents' specific clinical skills, using direct observation...
Association between maintenance of certification examination scores and quality of care for medicare beneficiariesEric S Holmboe
American Board of Internal Medicine, 510 Walnut St, Ste 1700, Philadelphia, PA 19106, USA
Arch Intern Med 168:1396-403. 2008....
The comprehensive care project: measuring physician performance in ambulatory practiceEric S Holmboe
American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19106, USA
Health Serv Res 45:1912-33. 2010..To investigate the feasibility, reliability, and validity of comprehensively assessing physician-level performance in ambulatory practice...
Assessment of the practicing physician: challenges and opportunitiesEric S Holmboe
Quality Research and Academic Affairs, American Board of Internal Medicine, Philadelphia, PA 19106, USA
J Contin Educ Health Prof 28:S4-10. 2008..CME programs need to incorporate more robust assessment as part of the learning activity to facilitate improvements in health care more directly...
Promoting physicians' self-assessment and quality improvement: the ABIM diabetes practice improvement moduleEric S Holmboe
American Board of Internal Medicine, Philadelphia, USA
J Contin Educ Health Prof 26:109-19. 2006..Physician self-assessment of practice performance is proposed as one method that certification boards may use to evaluate competence in practice-based learning and improvement and systems-based practice...
Faculty and the observation of trainees' clinical skills: problems and opportunitiesEric S Holmboe
Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
Acad Med 79:16-22. 2004..The author outlines the nature of the problems in clinical skills and their evaluation by faculty and ends with recommendations to improve the current state of faculty skills in evaluation...
Opening the black box of clinical skills assessment via observation: a conceptual modelJennifer R Kogan
Department of Medicine, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania 19104, USA
Med Educ 45:1048-60. 2011..This study was intended to develop a conceptual framework of the factors impacting on faculty members' judgements and ratings of resident doctors (residents) after direct observation with patients...
Self-assessment of practice performance: development of the ABIM Practice Improvement Module (PIM)F Daniel Duffy
American Board of Internal Medicine, Philadelphia, PA 19010, USA
J Contin Educ Health Prof 28:38-46. 2008..Quality measurement and improvement in practice are requirements for Maintenance of Certification by the American Board of Medical Specialties boards and a component of many pay for performance programs...
Professional standards in the USA: overview and new developmentsChristine Cassel
American Board of Internal Medicine
Clin Med 6:363-7. 2006....
A three-part model for measuring diabetes care in physician practiceRebecca S Lipner
American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19106 3699, USA
Acad Med 82:S48-52. 2007....
How teams work--or don't--in primary care: a field study on internal medicine practicesBenjamin J Chesluk
American Board of Internal Medicine, Philadelphia, PA, USA
Health Aff (Millwood) 29:874-9. 2010..For practices to succeed in managing diverse patients and in helping them understand and manage their own health, it will be critical to break down the silos and organize teams with shared roles and responsibilities...
The impact of a preventive cardiology quality improvement intervention on residents and clinics: a qualitative explorationElizabeth C Bernabeo
American Board of Internal Medicine, Philadelphia, PA, USA
Am J Med Qual 24:99-107. 2009..These findings shed light on how residency clinics engage in QI activities and may aid in the implementation of future QI initiatives in residency more generally...
Professionalism and accountability: the role of specialty board certificationChristine K Cassel
American Board of Internal Medicine, Philadelphia, PA 19106, USA
Trans Am Clin Climatol Assoc 119:295-303; discussion 303-4. 2008
Competency-based medical education in postgraduate medical educationWilliam F Iobst
American Board of Internal Medicine, USA
Med Teach 32:651-6. 2010....
Sources of ethical conflict in medical housestaff training: a qualitative studyJulie R Rosenbaum
Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
Am J Med 116:402-7. 2004..This study sought to identify and classify the range of work-related ethical conflicts experienced by medical house officers...
Construct validity of the miniclinical evaluation exercise (miniCEX)Eric S Holmboe
Department of Medicine and the Yale Primary Care Internal Medicine Residency Program, Yale University School of Medicine, New Haven, Connecticut, USA
Acad Med 78:826-30. 2003..To investigate the construct validity of the miniclinical evaluation exercise (miniCEX)...
Setting a fair performance standard for physicians' quality of patient careBrian J Hess
American Board of Internal Medicine, Philadelphia, PA 19106, USA
J Gen Intern Med 26:467-73. 2011..Little research has focused on methodological approaches to setting performance standards to which physicians are being held accountable...
Measuring physicians' performance in clinical practice: reliability, classification accuracy, and validity- Weifeng Weng
American Board of Internal Medicine, Philadelphia, PA 19106, USA
Eval Health Prof 33:302-20. 2010..In summary, it is feasible to create a psychometrically robust composite measure of physicians' clinical performance, specifically for the quality of care they provide to patients with diabetes...
Toward better care coordination through improved communication with referring physiciansBrian J Hess
American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19106, USA
Acad Med 84:S109-12. 2009..The authors evaluated a new tool called the Communication with Referring Physicians Practice Improvement Module (CRP-PIM), which assesses and encourages improved communication among physician consultants and referring physicians...
Prevalence and functionality of electronic health records in internal medicine continuity clinicsSiddharta G Reddy
American Board of Internal Medicine, Philadelphia, PA, USA
Acad Med 85:1369-77. 2010....
Clinic systems and the quality of care for older adults in residency clinics and in physician practicesLorna A Lynn
Department of Quality Research, American Board of Internal Medicine, Philadelphia, Pennsylvania 19106, USA
Acad Med 84:1732-40. 2009..Few physicians become geriatricians, but most will care for older adults. The authors assessed the quality of care for older adults in residency clinics and physician practices...
Integrating teaching skills and clinical content in a faculty development workshopMichael L Green
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
J Gen Intern Med 18:468-74. 2003..Integrating clinical content with clinical teaching in a faculty development workshop is feasible, can improve clinical and teaching skills, and can facilitate behavior change...
Characteristics of physician leaders working to improve the quality of care in acute myocardial infarctionEric S Holmboe
Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
Jt Comm J Qual Saf 29:289-96. 2003..A taxonomy of the characteristics of the physician quality leader from the perspective of physicians and nonphysicians was developed...
The roles of senior management in quality improvement efforts: what are the key components?Elizabeth H Bradley
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut, USA
J Healthc Manag 48:15-28; discussion 29. 2003..By reinforcing their current involvement or by identifying potential gaps in their involvement in quality improvement efforts, practitioners may enhance their effectiveness in promoting and sustaining quality in clinical care...
What are hospitals doing to increase beta-blocker use?Elizabeth H Bradley
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut, USA
Jt Comm J Qual Saf 29:409-15. 2003..Despite the many proposed methods for improving quality, little is known about which methods are being applied in practice across the United States or their perceived effectiveness...
Reasons physicians accepted or declined smallpox vaccine, February through April, 2003Andrea L Benin
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut, USA
J Gen Intern Med 19:85-9. 2004..Only 3% thought a smallpox attack in the next 5 years was likely or very likely. Physicians did not accept the smallpox vaccine because they did not believe the potential benefits were sufficient...
Tools for direct observation and assessment of clinical skills of medical trainees: a systematic reviewJennifer R Kogan
Department of Medicine, University of Pennsylvania Health System, 3701 Market St, Ste 640, Philadelphia, PA 19104, USA
JAMA 302:1316-26. 2009..Multiple tools for direct observation are available, but their characteristics and outcomes have not been compared systematically...
A collaborative initiative to improve the care of elderly Medicare patients with hypertensionThomas P Meehan
Qualidigm, 100 Roscommon Drive, Middletown, CT 06457, USA
Am J Med Qual 19:103-11. 2004..Additional study is required to determine incentives, barriers, and facilitating factors for quality improvement in the private practice primary care setting...
Improving the quality of preventive cardiovascular care provided by primary care physicians: insights from a US Quality Improvement OrganizationThomas P Meehan
Qualidigm, Middletown, CT 06457, USA
Int J Qual Health Care 18:186-94. 2006..During 2000-03, Qualidigm, a US Quality Improvement Organization, conducted a project to improve the care received by elderly Medicare patients with coronary artery disease or cardiovascular risk factors...
Do early career indicators of clinical skill predict subsequent career outcomes and practice characteristics for general internists?Bradley Gray
American Board of Internal Medicine, Philadelphia, PA
Health Serv Res 48:1096-115. 2013..To study relationships between clinical skill measures assessed at the beginning of general internists' careers and their career outcomes and practice characteristics...
Perspective: the ACGME toolbox: half empty or half full?Michael L Green
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
Acad Med 85:787-90. 2010..They urge the graduate medical education community-if it is to realize the promise of competency-based education-to invest in training for faculty evaluators rather than waiting for new instruments...
Making self-assessment more effectiveRobert M Galbraith
Center for Innovation, National Board of Medical Examiners, Philadelphia, PA 19104, USA
J Contin Educ Health Prof 28:20-4. 2008..Although these enhancements individually may not cure all of what ails self-assessment, they might ensure greater effectiveness for the purposes of lifelong learning...
Variation in internal medicine residency clinic practices: assessing practice environments and quality of careJeanette Mladenovic
University of Miami, Coral Gables, FL, USA
J Gen Intern Med 23:914-20. 2008..Few studies have systematically and rigorously examined the quality of care provided in educational practice sites...
A randomized outpatient trial of a decision-support information technology toolMichael Apkon
Yale-New Haven Health, Yale University School of Medicine, New Haven, Conn, USA
Arch Intern Med 165:2388-94. 2005..CONCLUSION: This study provides no strong evidence to support the utility of this decision-support tool, but it demonstrates the value of rigorous evaluation of decision-support information technology...
Faculty development in small-group teaching skills associated with a training course on office-based treatment of opioid dependenceJeffrey G Wong
Yale University School of Medicine, USA
Subst Abus 25:35-40. 2004..Evaluation of the DATA-2000 training session small-group facilitators was uniformly positive. This faculty development workshop was successful in improving teaching skills for our small-group faculty facilitators...
Quality improvement efforts and hospital performance: rates of beta-blocker prescription after acute myocardial infarctionElizabeth H Bradley
Section of Health Policy and Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520-8025, USA
Med Care 43:282-92. 2005..Future studies are needed to isolate hospital quality improvement efforts that are associated with superior performance...
The relationship between specialty choice and gender of U.S. medical students, 1990-2003Emily M Lambert
Department of Internal Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
Acad Med 80:797-802. 2005..Men and women expressed similar and significant rates of declining interest in specialties with uncontrollable lifestyles...
Effects of training in direct observation of medical residents' clinical competence: a randomized trialEric S Holmboe
Yale University, New Haven, Connecticut 06520, USA
Ann Intern Med 140:874-81. 2004..CONCLUSION: Direct observation of competence training, a new multifaceted approach to faculty development, leads to meaningful changes in rating behaviors and in faculty comfort with evaluation of clinical skills...
Hospital-level performance improvement: beta-blocker use after acute myocardial infarctionElizabeth H Bradley
Section of Health Policy and Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520, USA
Med Care 42:591-9. 2004..Several hospital characteristics were associated with this improvement, but they are weak predictors of hospital-based improvement in the use of beta-blockers...
Feedback and the mini clinical evaluation exerciseEric S Holmboe
Yale Primary Care Internal Medicine Residency, New Haven, CT 06721, USA
J Gen Intern Med 19:558-61. 2004..Programs should consider both specific training in feedback and changes to the miniCEX form to facilitate interactive feedback...
Influence of gender on the evaluation of internal medicine residentsRebecca S Brienza
Yale University School of Medicine, Primary Care Internal Medicine Residency Program, Waterbury, Connecticut 06721, USA
J Womens Health (Larchmt) 13:77-83. 2004..To determine if gender of resident or faculty influences performance ratings of residents on general medicine ward rotations...
Internal medicine training in the inpatient setting. A review of published educational interventionsLorenzo Di Francesco
J.Willis Hurst Internal Medicine Residency, Emory University School of Medicine, Atlanta, GA, USA
J Gen Intern Med 20:1173-80. 2005..The paucity of high quality research in the internal medicine inpatient setting highlights the urgent need to formally define and study what constitutes an effective "core" inpatient curriculum...
Which strategies facilitate improvement in quality of care for elderly hospitalized pneumonia patients?George S Tu
Division of Pulmonary and Critical Care Medicine, Cedars Sinai Medical Center, Los Angeles, USA
Jt Comm J Qual Saf 30:25-35. 2004..A retrospective cohort study was conducted to elucidate which hospital-based quality improvement (QI) strategies are most effective in facilitating improvement in care for patients with community-acquired pneumonia...
Credentialing and public accountability: a central role for board certificationChristine K Cassel
JAMA 295:939-40. 2006
Performance during internal medicine residency training and subsequent disciplinary action by state licensing boardsMaxine A Papadakis
University of California at San Francisco, San Francisco, California 94143, USA
Ann Intern Med 148:869-76. 2008..Information is limited on whether similar performance measures taken during residency can predict performance as practicing physicians...
Self-assessment in lifelong learning and improving performance in practice: physician know thyselfF Daniel Duffy
JAMA 296:1137-9. 2006
Barriers to obesity training for pediatric residents: a qualitative exploration of residency director perspectivesSarah L Goff
Departments of Internal Medicine and Pediatrics, University of Massachusetts Medical School, Worcester, Massachusetts 01072, USA
Teach Learn Med 18:348-55. 2006..Obesity affects many children and has serious health consequences. Pediatricians are expected to help halt this epidemic, but little is known about either existing obesity curricula during residency or barriers to curriculum development...
Comparison of hospitalists and nonhospitalists regarding core measures of pneumonia careWilliam D Rifkin
Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
Am J Manag Care 13:129-32. 2007..To examine whether compliance with national indicators of care differed amongst hospitalists and nonhospitalists...
What procedures should internists do?F Daniel Duffy
Ann Intern Med 146:392-3. 2007
Teaching and learning in an 80-hour work week: a novel day-float rotation for medical residentsJeffrey G Wong
Yale Primary Care Internal Medicine Residency, Waterbury, CT 06706, USA
J Gen Intern Med 19:519-23. 2004..Educational portfolios and mentored peer-teaching opportunities enriched the rotation. As measured by our evaluation, this new rotation enhanced learning and patient care while reducing work hours for inpatient ward residents...
What factors account for referral delays for patients with suspected rheumatoid arthritis?Lisa G Suter
VA Connecticut Healthcare System, and Yale University School of Medicine, IE 61 SHM, c o RWJ CSP, PO Box 208088, New Haven, CT 06520 8088, USA
Arthritis Rheum 55:300-5. 2006..Our objective was to explore the factors influencing the decision of a primary care physician (PCP) to refer or not refer a patient with suspected RA, and to identify modifiable factors influencing timely referral...
Feasibility, reliability and user satisfaction with a PDA-based mini-CEX to evaluate the clinical skills of third-year medical studentsDario M Torre
General Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
Teach Learn Med 19:271-7. 2007..However a PDA-based mini-CEX has not been developed or evaluated before. Our objective was to determine the feasibility, implementation, and user satisfaction with a PDA-based mini-CEX...
Oral antihyperglycemic therapy for type 2 diabetes: clinical applicationsEric S Holmboe
Yale Primary Care Residency Program, Waterbury Hospital, 64 Robbins St, Waterbury, CT 06721, USA
JAMA 287:373-6. 2002..Finally, patient preferences are a vital component of informed decision making for pharmacologic treatment of diabetes...
Lower baseline glycemia reduces apparent oral agent glucose-lowering efficacy: a meta-regression analysisZachary T Bloomgarden
Mount Sinai School of Medicine, 35 East 85th Street, New York, NY 10028, USA
Diabetes Care 29:2137-9. 2006
Leveraging the benefits of Health Information Technology to support healthcare delivery model redesignKevin Carr
Yale University School of Medicine, USA
J Healthc Inf Manag 20:31-41. 2006..The collaboration required to support community-wide implementations of health information technology also can be leveraged to facilitate additional quality improvement initiatives...
