FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2031479420> ?p ?o ?g. }

• W2031479420 abstract "While the heat outside may be stifling, at America’s teaching hospitals, July brings a waft of fresh air. Senior residents have graduated, new interns have arrived. The wards are abuzz with excitement. We know colleagues who ask for ward duty assignments in July, just for the thrill of it. “The interns hang on your every word,” they say. “It’s a good feeling.”This July brings a surfeit of good feelings, but there will be challenges as well. New residency work hour rules proposed by the Accreditation Council for Graduate Medical Education (ACGME) in 2010 are due to take effect this month. The rules call for increased supervision of physicians-in-training, tighter limits on moonlighting, and reduced work hours for first-year residents. With interns limited to shifts of 16 hours, residency programs have been scrambling to create new call schedules and systems for cross-coverage. No one really knows what will happen. By imposing uniform work hours on a national basis, the ACGIM has impeded our ability to learn about which specific standards result in better outcomes. As SGIM member Kevin Volpp and colleagues pointed out in the Annals of Internal Medicine late last year, “The main disadvantage of the [regulatory] approach is that there is no ability to determine whether different standards would have worked better to reduce resident fatigue while improving patient safety.”Fortunately, other initiatives to improve the quality and safety of patient care are undergoing more careful scientific scrutiny, many in the pages of this journal. For example, in this issue Simon et al. show that online messaging improves patient follow-up for depression compared with usual care. While prior randomized clinical trials have clearly demonstrated that care management programs improve clinical outcomes in depression, this study may well be the first that uses online messaging to deliver follow up care to patients initiating antidepressant treatment. Antidepressant adherence and patient satisfaction both improved in the intervention arm of the study.Conversations about resuscitation status are challenging for doctors. Worse, they often leave patients and families agitated and confused. As Yuen et al. argue in a comprehensive review of the topic, part of the reason is that DNR discussions occur too late to allow patient participation in the process. Proposed solutions include promoting cultural change within hospitals, imposing new standards for DNR discussions, providing better training to clinicians, and creating financial incentives that encourage more comprehensive DNR discussions.With the passage of the Affordable Care Act (ACA), health care reform is certain, but the exact form that it will take (and that will pass muster by the Supreme Court) is still unclear. The only certainty is that reform will be accompanied by acrimonious debate. We are pleased to announce that JGIM is leaping into the fray by launching a new series of Health Policy Perspectives by nationally renowned policy experts. Implementation of reform will impact the delivery system around the country for millions of Americans, and these changes will have important implications for general internists.In the current issue, we begin with a commentary by Mark Hall, JD, one of the nation's leading scholars in health care policy and law. Mr. Hall’s commentary serves as a good example of how health care reform may affect general internists, given the important role that many internists play in safety net organizations that serve those lacking adequate health insurance. In the coming months, stay tuned for more contributions tackling key aspects of health care reform. These Perspectives will explore topics as varied as the role of allied health care providers under the ACA and the impact of the ACA on Medicaid programs. One message that resounds throughout these contributions is that while it is tough to make predictions about where health care reform is going, general internists will continue to be key stakeholders in the debate." @default.
• W2031479420 created "2016-06-24" @default.
• W2031479420 creator A5031871819 @default.
• W2031479420 creator A5059765961 @default.
• W2031479420 creator A5068277451 @default.
• W2031479420 date "2011-05-10" @default.
• W2031479420 modified "2023-09-22" @default.
• W2031479420 title "From the Editors’ Desk: The July Effect" @default.
• W2031479420 doi "https://doi.org/10.1007/s11606-011-1736-3" @default.
• W2031479420 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3138586" @default.
• W2031479420 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21557033" @default.
• W2031479420 hasPublicationYear "2011" @default.
• W2031479420 type Work @default.
• W2031479420 sameAs 2031479420 @default.
• W2031479420 citedByCount "0" @default.
• W2031479420 crossrefType "journal-article" @default.
• W2031479420 hasAuthorship W2031479420A5031871819 @default.
• W2031479420 hasAuthorship W2031479420A5059765961 @default.
• W2031479420 hasAuthorship W2031479420A5068277451 @default.
• W2031479420 hasBestOaLocation W20314794201 @default.
• W2031479420 hasConcept C122980154 @default.
• W2031479420 hasConcept C127413603 @default.
• W2031479420 hasConcept C138885662 @default.
• W2031479420 hasConcept C15744967 @default.
• W2031479420 hasConcept C160735492 @default.
• W2031479420 hasConcept C17744445 @default.
• W2031479420 hasConcept C18762648 @default.
• W2031479420 hasConcept C199539241 @default.
• W2031479420 hasConcept C2776050585 @default.
• W2031479420 hasConcept C2776545233 @default.
• W2031479420 hasConcept C2777673361 @default.
• W2031479420 hasConcept C2779242764 @default.
• W2031479420 hasConcept C2779328685 @default.
• W2031479420 hasConcept C2779767262 @default.
• W2031479420 hasConcept C41895202 @default.
• W2031479420 hasConcept C509550671 @default.
• W2031479420 hasConcept C61521584 @default.
• W2031479420 hasConcept C71924100 @default.
• W2031479420 hasConcept C77805123 @default.
• W2031479420 hasConcept C78519656 @default.
• W2031479420 hasConceptScore W2031479420C122980154 @default.
• W2031479420 hasConceptScore W2031479420C127413603 @default.
• W2031479420 hasConceptScore W2031479420C138885662 @default.
• W2031479420 hasConceptScore W2031479420C15744967 @default.
• W2031479420 hasConceptScore W2031479420C160735492 @default.
• W2031479420 hasConceptScore W2031479420C17744445 @default.
• W2031479420 hasConceptScore W2031479420C18762648 @default.
• W2031479420 hasConceptScore W2031479420C199539241 @default.
• W2031479420 hasConceptScore W2031479420C2776050585 @default.
• W2031479420 hasConceptScore W2031479420C2776545233 @default.
• W2031479420 hasConceptScore W2031479420C2777673361 @default.
• W2031479420 hasConceptScore W2031479420C2779242764 @default.
• W2031479420 hasConceptScore W2031479420C2779328685 @default.
• W2031479420 hasConceptScore W2031479420C2779767262 @default.
• W2031479420 hasConceptScore W2031479420C41895202 @default.
• W2031479420 hasConceptScore W2031479420C509550671 @default.
• W2031479420 hasConceptScore W2031479420C61521584 @default.
• W2031479420 hasConceptScore W2031479420C71924100 @default.
• W2031479420 hasConceptScore W2031479420C77805123 @default.
• W2031479420 hasConceptScore W2031479420C78519656 @default.
• W2031479420 hasLocation W20314794201 @default.
• W2031479420 hasLocation W20314794202 @default.
• W2031479420 hasLocation W20314794203 @default.
• W2031479420 hasLocation W20314794204 @default.
• W2031479420 hasOpenAccess W2031479420 @default.
• W2031479420 hasPrimaryLocation W20314794201 @default.
• W2031479420 hasRelatedWork W1563667313 @default.
• W2031479420 hasRelatedWork W1962756939 @default.
• W2031479420 hasRelatedWork W1963541029 @default.
• W2031479420 hasRelatedWork W1965599818 @default.
• W2031479420 hasRelatedWork W1975371860 @default.
• W2031479420 hasRelatedWork W2010737254 @default.
• W2031479420 hasRelatedWork W2013365462 @default.
• W2031479420 hasRelatedWork W2024088749 @default.
• W2031479420 hasRelatedWork W2050659368 @default.
• W2031479420 hasRelatedWork W2055744134 @default.
• W2031479420 hasRelatedWork W2081246665 @default.
• W2031479420 hasRelatedWork W2095630912 @default.
• W2031479420 hasRelatedWork W2143483591 @default.
• W2031479420 hasRelatedWork W2159619570 @default.
• W2031479420 hasRelatedWork W2167568992 @default.
• W2031479420 hasRelatedWork W2283161249 @default.
• W2031479420 hasRelatedWork W2295784310 @default.
• W2031479420 hasRelatedWork W2320267531 @default.
• W2031479420 hasRelatedWork W272579378 @default.
• W2031479420 hasRelatedWork W167308852 @default.
• W2031479420 isParatext "false" @default.
• W2031479420 isRetracted "false" @default.
• W2031479420 magId "2031479420" @default.
• W2031479420 workType "article" @default.