Kathlyn E Fletcher

Summary

Affiliation: Medical College of Wisconsin
Country: USA

Publications

  1. pmc How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?
    Kathlyn E Fletcher
    Clement J Zablocki VAMC, Milwaukee, WI, USA
    J Gen Intern Med 23:623-8. 2008
  2. doi request reprint Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents
    Kathlyn E Fletcher
    Clement J Zablocki VA Medical Center, Milwaukee, Wisconsin 53295, USA
    J Hosp Med 3:228-37. 2008
  3. pmc Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules
    Kathlyn E Fletcher
    Department of Medicine, Milwaukee VAMC Medical College of Wisconsin, Milwaukee, WI 53295, USA
    J Gen Intern Med 26:907-19. 2011
  4. doi request reprint The numeracy understanding in medicine instrument: a measure of health numeracy developed using item response theory
    Marilyn M Schapira
    Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Med Decis Making 32:851-65. 2012
  5. ncbi request reprint Balancing continuity of care with residents' limited work hours: defining the implications
    Kathlyn E Fletcher
    Primary Care Division, Clement J Zablocki Veterans Affairs Medical Center, 5000 W National Avenue, Milwaukee, WI 53295, USA
    Acad Med 80:39-43. 2005
  6. ncbi request reprint Impact of localizing general medical teams to a single nursing unit
    Siddhartha Singh
    Center for Patient Care and Outcomes Research, Medical College of Wisconsin, Milwaukee, WI, USA
    J Hosp Med 7:551-6. 2012
  7. pmc The composition of intern work while on call
    Kathlyn E Fletcher
    Clement J Zablocki VAMC, Milwaukee, WI, USA
    J Gen Intern Med 27:1432-7. 2012
  8. doi request reprint Defining and measuring the effort needed for inpatient medicine work
    Reema Lamba
    Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    J Hosp Med 7:426-30. 2012
  9. doi request reprint A comparison of outcomes of general medical inpatient care provided by a hospitalist-physician assistant model vs a traditional resident-based model
    Siddhartha Singh
    Center for Patient Care and Outcomes Research, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Hosp Med 6:122-30. 2011
  10. pmc The meaning of numbers in health: exploring health numeracy in a Mexican-American population
    Marilyn M Schapira
    The Center for Patient Care and Outcomes Research, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 63226 0509, USA
    J Gen Intern Med 26:705-11. 2011

Detail Information

Publications28

  1. pmc How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?
    Kathlyn E Fletcher
    Clement J Zablocki VAMC, Milwaukee, WI, USA
    J Gen Intern Med 23:623-8. 2008
    ....
  2. doi request reprint Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents
    Kathlyn E Fletcher
    Clement J Zablocki VA Medical Center, Milwaukee, Wisconsin 53295, USA
    J Hosp Med 3:228-37. 2008
    ..The Accreditation Council for Graduate Medical Education (ACGME) instituted work hour limitations to fill one such hole by reducing resident fatigue...
  3. pmc Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules
    Kathlyn E Fletcher
    Department of Medicine, Milwaukee VAMC Medical College of Wisconsin, Milwaukee, WI 53295, USA
    J Gen Intern Med 26:907-19. 2011
    ..The ACGME-released revisions to the 2003 duty hour standards...
  4. doi request reprint The numeracy understanding in medicine instrument: a measure of health numeracy developed using item response theory
    Marilyn M Schapira
    Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Med Decis Making 32:851-65. 2012
    ....
  5. ncbi request reprint Balancing continuity of care with residents' limited work hours: defining the implications
    Kathlyn E Fletcher
    Primary Care Division, Clement J Zablocki Veterans Affairs Medical Center, 5000 W National Avenue, Milwaukee, WI 53295, USA
    Acad Med 80:39-43. 2005
    ..Using this framework, medical educators may better evaluate previous studies and consider remaining questions...
  6. ncbi request reprint Impact of localizing general medical teams to a single nursing unit
    Siddhartha Singh
    Center for Patient Care and Outcomes Research, Medical College of Wisconsin, Milwaukee, WI, USA
    J Hosp Med 7:551-6. 2012
    ..Localization of general medical inpatient teams is an attractive way to improve inpatient care but has not been adequately studied...
  7. pmc The composition of intern work while on call
    Kathlyn E Fletcher
    Clement J Zablocki VAMC, Milwaukee, WI, USA
    J Gen Intern Med 27:1432-7. 2012
    ..The work of house staff is being increasingly scrutinized as duty hours continue to be restricted...
  8. doi request reprint Defining and measuring the effort needed for inpatient medicine work
    Reema Lamba
    Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    J Hosp Med 7:426-30. 2012
    ..Current metrics for assessing physician workload are inadequate. Understanding the effort associated with work tasks could make workload assessments more robust...
  9. doi request reprint A comparison of outcomes of general medical inpatient care provided by a hospitalist-physician assistant model vs a traditional resident-based model
    Siddhartha Singh
    Center for Patient Care and Outcomes Research, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Hosp Med 6:122-30. 2011
    ..One such model is the use of physician assistants (PAs) with hospitalists. However, these models of care have not been widely evaluated...
  10. pmc The meaning of numbers in health: exploring health numeracy in a Mexican-American population
    Marilyn M Schapira
    The Center for Patient Care and Outcomes Research, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 63226 0509, USA
    J Gen Intern Med 26:705-11. 2011
    ..Health numeracy can be defined as the ability to use numeric information in the context of health. The interpretation and application of numbers in health may vary across cultural groups...
  11. doi request reprint It's the writing on the wall: Whiteboards improve inpatient satisfaction with provider communication
    Siddhartha Singh
    Clinical Cancer Center, 5th Floor, Division of General Internal Medicine, Froedtert and The Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA
    Am J Med Qual 26:127-31. 2011
    ..There was no secular trend, and the authors excluded a trend in overall patient satisfaction. Whiteboards could be a simple and effective tool to increase inpatient satisfaction with communication...
  12. doi request reprint The development and validation of the hypertension evaluation of lifestyle and management knowledge scale
    Marilyn M Schapira
    Department of Internal Medicine, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Avenue, Philadelphia, PA 19104, USA
    J Clin Hypertens (Greenwich) 14:461-6. 2012
    ..2) to 12-month follow-up (mean, 9.2, standard deviation, 2.2; P<.001). We conclude that the HELM provides a valid measure of the knowledge required for patients to take an active role in the chronic disease management of hypertension...
  13. pmc Trends in inpatient continuity of care for a cohort of Medicare patients 1996-2006
    Kathlyn E Fletcher
    Division of Primary Care, Clement J Zablocki VAMC and Division of General Internal Medicine, Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, USA
    J Hosp Med 6:438-44. 2011
    ..Little is known about how changes in health care delivery, such as the use of hospitalists, have impacted inpatient continuity...
  14. doi request reprint The relationship of health numeracy to cancer screening
    Marilyn M Schapira
    Center for Patient Care and Outcomes Research Center, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226 0509, USA
    J Cancer Educ 26:103-10. 2011
    ..06, 95% CI 1.02-1.08) and decreased perceived barriers (RR 0.93, 95% CI 0.92-0.95) were associated with increased screening rates. In conclusion, health numeracy was not predictive of cancer screening among a primary care population...
  15. pmc The validity of peer review in a general medicine journal
    Jeffrey L Jackson
    Division of General Medicine, Zablocki VA Medical Center, Milwaukee, Wisconsin, United States of America
    PLoS ONE 6:e22475. 2011
    ..All the opinions in this article are those of the authors and should not be construed to reflect, in any way, those of the Department of Veterans Affairs...
  16. doi request reprint Patterns of arthritis medication use in a community sample
    Kent Rosenwald
    Department of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
    J Prim Care Community Health 3:272-7. 2012
    ..Such information is important because of the toxicity associated with some arthritis treatments...
  17. ncbi request reprint Competency pocket cards: an effective ambulatory assessment tool
    Jennifer R Zebrack
    Medical College of Wisconsin, Wisconsin 53295, USA
    Med Educ 40:480-1. 2006
  18. doi request reprint A framework for health numeracy: how patients use quantitative skills in health care
    Marilyn M Schapira
    Patient Care and Outcomes Research Center, Medical College of Wisconsin, Milwaukee, Wisconsin 53226 0509, USA
    J Health Commun 13:501-17. 2008
    ..We conclude that health numeracy is a multifaceted construct that includes applied and interpretive components and is influenced by patient affect...
  19. doi request reprint Ethical challenges in a randomized controlled trial of peer education among veterans service organizations
    Jeff Whittle
    Clement J Zablocki VA Medical Center, Milwaukee, WI 53295, USA
    J Empir Res Hum Res Ethics 5:43-51. 2010
    ....
  20. pmc Bedside interactions from the other side of the bedrail
    Kathlyn E Fletcher
    Clement J Zablocki VAMC, Milwaukee, WI 53295, USA
    J Gen Intern Med 20:58-61. 2005
    ..To assess the importance to patients of various aspects of bedside interactions with physician teams...
  21. pmc A qualitative evaluation of geographical localization of hospitalists: how unintended consequences may impact quality
    Siddhartha Singh
    Center for Patient Care and Outcomes Research, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI, 53226, USA
    J Gen Intern Med 29:1009-16. 2014
    ..Geographical localization of hospitalist teams to nursing units may have an impact on the quality of inpatient care. The perceptions of individuals who provide patient care in a localized model of care have not been adequately studied...
  22. ncbi request reprint Teaching at the bedside: a new model
    Regina W Janicik
    New York University School of Medicine, Department of Medicine, New York, NY 10012, USA
    Med Teach 25:127-30. 2003
    ..The model includes suggested skills for effective bedside teaching that are arranged into three domains: attending to patient comfort, focused teaching and group dynamics...
  23. ncbi request reprint Patients speak: what's really important about bedside interactions with physician teams
    Kathlyn E Fletcher
    Robert Wood Johnson Clinical Scholars Program, University of Michigan Medical Center, Ann Arbor, Michigan, USA
    Teach Learn Med 19:120-7. 2007
    ..Although it may take up relatively little time, hospitalized patients' interactions with their physicians are important elements of their hospital experience...
  24. ncbi request reprint Effects of work hour reduction on residents' lives: a systematic review
    Kathlyn E Fletcher
    Department of Internal Medicine, Clement J Zablocki VA Medical Center Medical College of Wisconsin, Milwaukee 53295, USA
    JAMA 294:1088-100. 2005
    ..These limitations are likely to also have an impact on other aspects of the lives of residents...
  25. ncbi request reprint Systematic review: effects of resident work hours on patient safety
    Kathlyn E Fletcher
    Ann Arbor Veterans Affairs Medical Center and the University of Michigan Medical School, Ann Arbor, Michigan, USA
    Ann Intern Med 141:851-7. 2004
    ..The Accreditation Council for Graduate Medical Education (ACGME) mandated new work hours rules for all residency programs in July 2003...
  26. ncbi request reprint Viewpoints from generation X: a survey of candidate and associate viewpoints on resident duty-hour regulations
    Willie Underwood
    Division of Clinical Research and Quality Assurance, Department of Urology, University of Michigan, Ann Arbor 48109 0330, USA
    J Am Coll Surg 198:989-93. 2004
    ..Subsequently, federal legislation was introduced to limit resident duty hours. To preempt the federal government, the Accreditation of Graduate Medical Education implemented resident duty-hour guidelines...
  27. ncbi request reprint Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection
    Kaveh G Shojania
    Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada
    Ann Intern Med 145:592-8. 2006
    ..They then fall into the same trap as those who taught them, busying themselves with direct patient care and providing supervision only as time allows...
  28. ncbi request reprint The physical examination of patients with abdominal pain: the long-term effect of adding standardized patients and small-group feedback to a lecture presentation
    Kathlyn E Fletcher
    University of Michigan, Ann Arbor, USA
    Teach Learn Med 16:171-4. 2004
    ..One of the most effective methods for teaching physical diagnosis may be standardized patient instructors...