Focus on Medical Education

The Division of General Internal Medicine at Johns Hopkins Bayview Medical Center has a long record of innovation and accomplishments in clinical teaching, medical education, and curriculum development. The GIM Residency Program benefits directly from these efforts, some of which are highlighted below.
 

Faculty Development and Fellowships for Clinician-Educators 

The Johns Hopkins Faculty Development Program for Clinician Educators was developed and is based here. It includes two separate, year-long courses for clinical teachers: Teaching Skills and Curriculum Development.  Almost all of the GIM full-time faculty and the Community-Based Practice preceptors have participated in the Teaching Skills Course, and many have also completed the Curriculum Development Course.

The Division of General Internal Medicine at JHBMC also co-sponsors (with the Division of General Internal Medicine at Johns Hopkins Hospital) a two-to-three year GIM Fellowship in Medical Education.  This fellowship trains internists to be excellent teachers and facilitators, developers and administrators of educational programs, and scholars in the field of medical education.  Two Medical Education Fellows are based in the GIM Division at JHBMC, and interact with residents in the GIM Residency Program in a variety of roles.  For housestaff interested in exploring GIM and other fellowship pathways, there are ample opportunities to interact with leaders and current participants in the Johns Hopkins-based fellowships.
 

Publications

Four important reference books were produced by faculty in the Department of Medicine and Division of General Internal Medicine:

• Principles of Ambulatory Medicine (Nicholas Fiebach, David Kern, Patricia Thomas, Roy Ziegelstein editors; L. Randol Barker, Philip D. Zieve consulting editors) is the most widely used textbook of ambulatory internal medicine.  It is in its seventh edition (2007).  Many of the faculty at Johns Hopkins Bayview Medical Center are contributors.
• Curriculum Development for Medical Education:  A Six-Step Approach (David Kern, Patricia Thomas, Donna Howard, Eric Bass, editors) was published in 1998.  It describes a widely known approach to medical education that was developed here.
• Kammerer and Gross’ Medical Consultation:  The Internist on Surgical, Obstetric, and Psychiatric Services (Richard Gross, Gregory Kaputo, editors) is a well-known textbook on general medical consultation.  The lead editor, Dr. Gross, is one of the community-based faculty in the GIM Division, and several other faculty in the Department of Medicine are contributors.
• Practical Gynecology: A Guide for the Primary Care Physician (Janice Ryden, Paul D. Blumenthal, editors) was published in 2002 by the American College of Physicians and will soon be published in second edition.  Dr. Ryden is one of the GIM community faculty.

In addition, members of the Division of General Internal Medicine and GIM residents have authored many articles on medical education and residency training:

1. Barker LR. Educational strategies in ambulatory care. J Med Educ 1978;53:851-853.
2. Barker LR, Parran T, Kern DE, Cole KA. Chemical dependency education in an internal medicine residency program. Substance Abuse 1989;10:16-18.
3. Barker LR, Starfield B, Gross RJ, Kern DE, Levine DM, Fishelman P. Recognition of information and coordination of ambulatory care by medical residents. Med Care 1989;27:558-562.
4. Kern DE, Grayson M, Barker LR, Roca RP, Cole KA, Roter DL, Golden AS. Residency training in interviewing skills in the psychosocial domain of medical domain of medical practice.  J Gen Intern Med 1989;4:421-431   .
5. Barker LR. Curriculum for ambulatory care training in medical residency: rational, attitudes, and generic proficiencies. J Gen Intern Med 1990;5(suppl):S3-S14.
6. Finucane TE, Carrese JA*. Racial bias in presentation of cases. J Gen Intern Med 1990;5:120-21.
7. Kern DE, Harris W, Boekeloo B, Barker LR, Hogeland P. Use of an outpatient medical record audit to achieve educational objectives: changes in residents' performance over six years. J Gen Intern Med 1990; 5:218-224.
8. Lipkin M Jr., Levinson W, Barker L, Kern D, Burke W, Nobel J, Wartman S, Delbanco PT. Primary care internal medicine: a challenging career choice for the 1990's. Ann Intern Med 1990;112:371-378.
9. Roter DL, Cole KA, Kern DE, Barker LR, Grayson M. An evaluation of residency training in interviewing skills in the psychosocial domain of medical practice. J Gen Intern Med 1990;5:347-354.
10. Williamson PR. Support groups: an important aspect of physician education. J Gen Intern Med 1991;6:179-180.
11. Henrich JB, Rahn DW, Fiebach NH. Integrating general medicine and rheumatology training in the outpatient setting: A practice model. J Gen Intern Med 1992;7:434-436.
12. Williamson PR, Smith RC, Kern DE, Lipkin M, Barker LR, Hoppe RB. The medical interview and psychosocial aspects of medicine: block curricula for residents. J Gen Intern Med 1992;7:235-242.
13. Roter DL, Hall JA, Kern DE, Barker LR, Cole KA, Roca RP. A randomized trial to improve physicians’ interviewing skills and reduce patients' emotional stress. Arch Intern Med 1995;155:1877-1884.
14. Wright S. Examining what residents look for in their role models. Acad Med 1996;71:290-292.
15. Barker LR. Arrangements that allow general practice trainees to provide longitudinal care for patients. Euro J Gen Pract 1997;3:69.
16. Beasley BW, Wright SM, Cofrancesco Jr. J, Babbott SF, Thomas PA, Bass EB. Promotion criteria for clinician-educators in the United States and Canada: a survey of promotion committee chairpersons. JAMA 1997;278:723-728.
17. Wright S, Wong A, Newill C. The impact of role models on medical students. J Gen Intern Med 1997;12:53-56.
18. Carrese JA, Wright SM. Time to teach about ethical issues encountered in managed care. Acad Med 1998;73(11):12-13.
19. Wright SM, Kern DE, Kolodner K, Howard DM, Brancati FL. Attributes of excellent attending physician role models: a multi-center case-control study. New Engl J Med 1998;339:1986-1993.
20. Barker LR. CME for European GPs in doctor-patient relationship and psychosocial issues. J Cont Educ Health Prof 1998; 18(1):39-46.
21. Barker LR. Recent trans-European Initiatives in general practice. Arch Fam Med 1999;8:379-381.
22. Beasley BW, Kern DE, Howard DM, Kolodner K. A job satisfaction measure for internal medicine residency program directors. Acad Med 1999;74:263-270.
23. Jablonover R, Blackman D, Bass E, Morrison G, Goroll A. Evaluation of a national curriculum reform effort for the medicine core clerkship. J Gen Intern Med 1999;14 (Suppl 2):140.
24. Naiman DJ*, Barker LR. Adherence to the JNC VI guidelines for the treatment of hypertension I the resident clinic. MMJ 1999;48:307-11.
25. Stornelli D*, Ziegelstein R, Lowitt N. Bayview ambulatory subspecialty interdisciplinary curriculum (BASIC): Evaluation of a new ambulatory curriculum. J Gen Intern Med 1999;14(Suppl 2):156.
26. Wright S, Kern DE, Bass EB. Innovations in education and clinical practice (editorial). J Gen Intern Med 1999;14:775-776.
27. Carrese JA, Marshall PA. Teaching anthropology in the medical curriculum. Amer J Med Sci 2000;319:297-305.
28. Houston T, Clark JM, Kern D, Alguire P, Boulware D, Bowen J, Branch W, Ferenchick G, Kahn R, Horwitz R. Faculty development in ambulatory teaching: results from a national conference. J Gen Intern Med 2000;15(suppl):34.\
29. Wright SM, Durbin P*, Barker LR. When should learning about hospitalized patients end? Providing housestaff with post-discharge follow-up information. Acad Med 2000;75:380-383.
30. Wright SM, Kouroukis C. Capturing zebras: what to do with a reportable case. CMAJ 2000:163(4):429-31.
31. Yao DC, Wright SM. National survey of internal medicine residency program directors regarding problem residents. JAMA 2000:284:1099-1104.
32. Beasley BW, Kern DE, Kolodner K, Howard DM. Job turnover and its correlates among residency program directors in internal medicine: a three year cohort study. Acad Med 2001;76:1127-35.
33. Branch, Jr. WT, Kern DE, Gracey K, Haidet P, Weissman P, Mitchell G, Inui T, Novak TL. Teaching the human dimensions of care at the patient’s bedside: a perspective. JAMA 2001;286:1067-1074.
34. Fiebach N, Wong J. The residents clinic: where do we stand? (editorial). J Gen Intern Med 2001;16:787-89.
35. Holmboe ES, Fiebach NH, Galaty CA, Huot S.  Effectiveness of a focused educational intervention on resident evaluations from faculty: a randomized, controlled trial. J Gen Intern Med 2001;16:427-434.
36. Houston T, Connors R, Cutler N, Nidiry M. An ambulatory primary care musculoskeletal clinic for residents. JGIM 2001;16(Suppl 1):86.
37. Kern DE, Wright SM, Carrese JA, Lipkin Jr. M, Novack DH, Kalet A, Frankel R. Personal growth in medical faculty: a qualitative study. Western J of Med 2001;175:92-98.
38. Kravet S, Wright S, Carrese J. Teaching resource and information management using an innovative case-based conference. J Gen Intern Med 2001:16:399-403.
39. Wright SM, Carrese JA. Ethical Issues in the managed care setting: A new curriculum for primary care physicians. Medical Teacher 2001;23-71-75.
40. Wright SM, Carrese JA. Which values do attending physicians try to pass on to house officers? Med Ed 2001;35:941-45.
41. Wright SM, Tseng WT*, Kolodner K. Physician opinion about electronic publications. Am J Med 2001;110-373-377.
42. Rastegar DA, Claiborne CV*, Fleisher AS, Matsumoto AK. A patient with primary HIV infection who presented with acute rhabdomyolysis. Clin Infect Dis 2001;32:502-04
43. Yao DC, Wright SM. The challenge of problem residents. J Gen Intern Med 2001;16:486-492.
44. Carrese JA, Mullaney JL, Faden RR, Finucane TF. Planning for death but not serious future illness: qualitative study of housebound elderly patients. BMJ 2002;325:125-27.
45. Rastegar DA, Wolfe L*. Experience, expertise or specialty? Uses and misuses of a reference. J Fam Pract 2002;51:168.
46. Ryden J, Fiebach N, Fiebach M, McCauley J. A multicomponent multimedia curriculum in gynecology for internal medicine residents. JGIM 2002;17(Suppl 1):100-101.
47. Hebert RS, Levine RB, Smith CG, Wright SM. A systematic review of resident research curricula. Acad Med 2003;78:61-68.
48. Rapko DA*, Rastegar DA. Intentional clonidine patch ingestion by three adults in a detoxification unit. Arch Intern Med 2003;163:367-368.
49. Rastegar DA, Fingerhood MI. Jasinski DR. Highly active antiretroviral therapy outcomes in a primary care clinic.  AIDS Care 2003;15:231-237.
50. Torre DM, Wright SM, Wilson RF, Diener-West M, Bass EB.  What do academic primary care physicians want in an electronic journal.  JGIM   2003;18:209-212. 
51. Wright SM, Carrese JA. Excellence in role modeling: in sight and perspectives from the pros. CMAJ.  2002;167:638-643.
52. Wright SM, Ziegelstein RC. March Madness - The NRMP and the NCAA. Teach and Learn Med. 2003;15:113-115.
53. Torre DM, Wright SM. A review of the clinical and educational uses of handheld computers. South J Med. (In Press)
54. Beasley B, Simon SD, Wright SM. A time to be promoted. The prospective study of promotion in Academia. JGIM 2006;21:123-129.
55. Caccamese S, Eubank K, Hebert R, Wright S. Conference attendance and performance on the In-Training Examination in Internal Medicine. Med Teacher 2004;26:640-644.
56. Clark JM, Houston TK, Kolodner K, Branch Jr. WT, Levine RB, Kern DE. Teaching the teachers: national survey of faculty development in departments of medicine of U.S. teaching hospitals. J Gen Intern Med 2004; 19:205-214.
57. Cole KA, Barker LR, Kolodner K, Williamson PR, Wright SM, Kern DE. Faculty development in teaching skills: an intensive longitudinal model. Acad Med 2004; 79:469-480.
58. Houston TK, Clarke JM, Levine RB, Ferenchick GS, et al. Outcomes of a National Faculty Development Program in Teaching Skills.  JGIM 2004;19:1220-1227.
59. Houston TK, Connors RL, Cutler N, Nidiry MA. A primary care musculoskeletal clinic for residents: success and sustainability. J Gen Intern Med 2004;19:524-529.
60. Houston TK, Ferenchick GS, Clarke JM, Bowen JL, Branch WT, Alguire P, Esham RH, Clayton CP, Kern DE. Faculty development needs: comparing community-based and hospital-based internal medicine teachers. J Gen Intern Med 2004;19:375-379.
61. Kern D, Branch W, et al. Teaching the Psychosocial Aspects of Care in the Clinical Setting: Practical Recommendations. Acad Med 2005;80:8-20.
62. Kravet S, Howell E, Wright S. Morbidity and Mortality Conference, Grand Rounds, and the ACBME's Core Competencies. JGIM 2006;21:1192-1194.
63. Levine RB, Haidet P, Kern DE, et al. Personal Growth During Internship:  A Qualitative Analysis of Intern’s Responses to Key Questions. J Gen Intern Med 2006;21:564-569. Levine RB, Hebert RS, Wright SM. Resident Research and Scholarly Activity in Internal Medicine Residency Training Programs. JGIM 2005;20:155-159.
64. Levine RB, Mechaber HF. Opting In: Part-time Careers in Academic Medicine. Am J of Med 2006;119:450-453.
65. Price EB, Gozu A, Kern DE, Powe NR, et al. The Role of Cultural Diversity Climate in Recruitment, Promotion, and Retention of Faculty in Academic Medicine. JGIM 2005 ;20 :656-571.
66. Ramulu VG, Levine RB, Hebert RS, Wright SM. Development of a case report review instrument. Int J Clin Pract 2005 ;59 :457-461.
67. Rastegar DA, Wright SM. Feedback on assessment of risk and risk reduction. Med Educ 2004;38:545-576.
68. Rastegar DA, Wright SM. What Interns Talk About. Med Teacher 2005;27(2):177-179.
69. Reed DA, Kern DE, Levine RB, Wright SM. Costs and Funding for Published Medical Education Research. JAMA 2005;294:1052-1057.
70. Reed DA, Price EG, Windish DM, Wright SM, et al. Challenges in Systematic Reviews of Educational Intervention Studies. Annals of Int Med. 2005;142:1080-1089.
71. Rivera JA, Levine RB, Wright SM. Brief report: completing a scholarly project during residency training. perspectives of residents who have been successful. J Gen Intern Med. 2005;20:366-369.
72. Sisson SD, Hughes MT, Levine D, Brancati FL. Effect of an internet-based curriculum on postgraduate education: a multicenter intervention. J Gen Intern Med 2004;19:505-509.
73. Suchman AL, Williamson PR, Litzelman DK, Frankel RM, Mossbarger DL, et al. Toward an informal curriculum that teaches professionalism: transforming the social environment of a medical school. J Gen Intern Med 2004;19:501-504.
74. Thomas PA, Kern DE. Internet resources for curriculum development in medical education: an annotated bibliography. J Gen Intern Med 2004;19:599-605.
75. Thomas P, Wright S, Kern D. Educational Research at Johns Hopkins University School of Medicine: A Grassroots Development. Acad Med 2004;79:975-980.
76. Windish DM, Knight AM, Wright SM. Clinician-teachers’ self-assessments versus learners’ perceptions. J Gen Intern Med 2004;19:554-557.
77. Wright SM, Beasley BW. Motivating factors for academic physicians within departments of medicine. Mayo Clin Proc 2004;79(9):1145-1150.
78. Wright SM, Hellmann DB, Ziegelstein RC. 52 precepts that medical trainees and physicians should consider regularly. Amer J Med 2005;118:435-438
79. Wright SM, Levine RB, Beasley B. Personal Growth and its correlates during residency training. Med Ed 2006;40:737-745.
80. Ziegelstein RC, Fiebach NH. “The Mirror” and “The Village”: a new method for teaching practice-based learning and improvement and systems-based practice. Acad Med 2004; 79:83-88.
81. Ratanawongsa N, Teherani A, Hauer KE. “Third-Year Medical Students’ Experiences with Dying Patients during the Internal Medicine Clerkship: A Qualitative Study of the Informal Curriculum.” Academic Medicine 2005 Jul; 80(7): 641-7.
82. Ratanawongsa N, Kern DE, Barker LR. “Promoting Humanistic Care in the Housestaff Continuity Clinic.” Medical Education 2005 Nov; 39(11): 1165-6.
83. Ratanawongsa N, Bolen S, Howell EE, Kern DE, Sisson SD, Larriviere D. “Residents’ Perceptions of Professionalism in Training and Practice: Barriers, Promoters, and Duty Hour Requirements.” J Gen Intern Med 2006 Jul; 21(7): 758-763.
84. Ratanawongsa N, Wright, SM, Carrese JA. “Well-Being During Residency: A Time for Temporary Imbalance?” Medical Education 2007 Mar; 41(3):273-80.
85. Ratanawongsa N, Howell EE, Wright SM. “What Motivates Physicians Throughout Their Careers in Medicine?” Conprehensive Therapy 2006 Fall; 32(4).

*GIM Resident