Kathlyn E Fletcher
Affiliation: Medical College of Wisconsin
- 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....
- Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residentsKathlyn 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...
- Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rulesKathlyn 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...
- The numeracy understanding in medicine instrument: a measure of health numeracy developed using item response theoryMarilyn M Schapira
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Med Decis Making 32:851-65. 2012....
- Balancing continuity of care with residents' limited work hours: defining the implicationsKathlyn 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...
- Impact of localizing general medical teams to a single nursing unitSiddhartha 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...
- The composition of intern work while on callKathlyn 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...
- Defining and measuring the effort needed for inpatient medicine workReema 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...
- A comparison of outcomes of general medical inpatient care provided by a hospitalist-physician assistant model vs a traditional resident-based modelSiddhartha 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...
- The meaning of numbers in health: exploring health numeracy in a Mexican-American populationMarilyn 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...
- It's the writing on the wall: Whiteboards improve inpatient satisfaction with provider communicationSiddhartha 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...
- The development and validation of the hypertension evaluation of lifestyle and management knowledge scaleMarilyn 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...
- Trends in inpatient continuity of care for a cohort of Medicare patients 1996-2006Kathlyn 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...
- The relationship of health numeracy to cancer screeningMarilyn 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...
- The validity of peer review in a general medicine journalJeffrey 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...
- Patterns of arthritis medication use in a community sampleKent 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...
- Competency pocket cards: an effective ambulatory assessment toolJennifer R Zebrack
Medical College of Wisconsin, Wisconsin 53295, USA
Med Educ 40:480-1. 2006
- A framework for health numeracy: how patients use quantitative skills in health careMarilyn 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...
- Ethical challenges in a randomized controlled trial of peer education among veterans service organizationsJeff Whittle
Clement J Zablocki VA Medical Center, Milwaukee, WI 53295, USA
J Empir Res Hum Res Ethics 5:43-51. 2010....
- Bedside interactions from the other side of the bedrailKathlyn 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...
- A qualitative evaluation of geographical localization of hospitalists: how unintended consequences may impact qualitySiddhartha 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...
- Teaching at the bedside: a new modelRegina 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...
- Patients speak: what's really important about bedside interactions with physician teamsKathlyn 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...
- Effects of work hour reduction on residents' lives: a systematic reviewKathlyn 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...
- Systematic review: effects of resident work hours on patient safetyKathlyn 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...
- Viewpoints from generation X: a survey of candidate and associate viewpoints on resident duty-hour regulationsWillie 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...
- Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectionKaveh 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...
- The physical examination of patients with abdominal pain: the long-term effect of adding standardized patients and small-group feedback to a lecture presentationKathlyn 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...