Journal of general internal medicine
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In 1995, the Society of General Internal Medicine (SGIM) and the Clerkship Directors in Internal Medicine (CDIM) developed and disseminated a new model curriculum for the medicine core clerkship that was designed to enhance learning of generalist competencies and increase interest in general internal medicine. ⋯ This federally supported initiative that engaged the collaborative efforts of the SGIM and the CDIM was successful in facilitating significant changes in the medicine core clerkship across the United States.
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To measure the effect on patient satisfaction of medical student participation in care and the presence of medical student teaching. ⋯ Medical student participation and the presence of medical student teaching had little effect on patient satisfaction. Concerns about patient satisfaction should not prevent managed care organizations from participating in primary care education.
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To describe gender differences in job satisfaction, work life issues, and burnout of U.S. physicians. ⋯ Gender differences exist in both the experience of and satisfaction with medical practice. Addressing these gender differences will optimize the participation of female physicians within the medical workforce.
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Randomized Controlled Trial Clinical Trial
Cervical cancer screening in the urgent care setting.
To determine the feasibility of cervical cancer screening in an urgent care clinic. ⋯ Urgent care clinic visits can be used as opportunities to perform Pap test screening in women who are unlikely to adhere to cervical cancer screening recommendations. However, to accrue the full potential benefit from this intervention, an improved process to ensure patient follow-up must be developed.
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To determine patient and provider characteristics associated with increased risk of nondetection of mental health problems by primary care physicians. ⋯ Patients' race, gender, and coexisting medical conditions affected physician awareness of mental health problems. Strategies to improve detection of mental health problems among African Americans, Hispanics, and men should be explored and evaluated.