Journal of general internal medicine
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New employees generally demonstrate lower productivity than experienced colleagues in non-healthcare sectors, but there is limited evidence on how tenure affects physician productivity. ⋯ New attending physicians had lower productivity than existing employees, though their productivity improved with increasing tenure. Among new hires, internal hires had higher productivity than external hires and were faster to reach equivalent levels. These findings are important for health systems calculating the extended cost and access implications of physician turnover and replacement.
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Advances in artificial intelligence and machine learning have facilitated the creation of mortality prediction models which are increasingly used to assess quality of care and inform clinical practice. One open question is whether a hospital should utilize a mortality model trained from a diverse nationwide dataset or use a model developed primarily from their local hospital data. ⋯ A single-hospital inpatient mortality prediction model can achieve performance comparable to a national model when evaluated on a single-hospital population, given sufficient sample size.
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Prior research has shown that African American men and women are more likely to receive lower quality healthcare compared to their white counterparts, which is exacerbated in jail and prison healthcare systems. ⋯ This study highlights the need to address barriers to accessing healthcare during and after incarceration, particularly given racial disparities in healthcare treatment and outcomes.