Entries Tagged as 'Mt Sinai J Med'
Medical student documentation in the medical record: is it a liability?
Mt Sinai J Med. 2009 Aug;76(4):357-64
Authors: Gliatto P, Masters P, Karani R
Medical students have routinely documented patient encounters in both inpatient and outpatient care venues. This hands-on experience has provided a way for students to reflect on patient encounters, learn proper documentation skills, and attain a sense of being actively involved in and responsible for the care of patients. Over the last several years, the practice of student note writing has come into question. Institutional disincentives to student documentation include insurance regulations that restrict student documentation from substantiating billing claims, concerns about the legal status of student notes, and implementation of electronic medical records that do not allow or restrict student access. The increased scrutiny of the medical record from pay-for-performance programs and other quality measures will likely add to the pressure to exclude students from writing notes. This trend in limiting medical student documentation may have wide-ranging consequences for student education, from delaying the learning of proper documentation skills to limiting training opportunities. This article reviews the educational value of student note writing, the factors that have made student documentation problematic, and the potential educational impact of limiting student documentation. In addition, it offers some suggestions for future research to guide policy in this area.
PMID: 19642157 [PubMed - indexed for MEDLINE]
[Read more →]
Tags: Mt Sinai J Med
Hospitalist educators: future of inpatient internal medicine training.
Mt Sinai J Med. 2008 Oct;75(5):430-5
Authors: Goldenberg J, Glasheen JJ
Academic hospitalists have grown in number and influence over the past decade. This has fueled concerns about the effect of hospitalists on resident and student education. While the bulk of the literature favors the hospitalist teaching model to a more traditional model concerns remain that hospitalists may negatively impact housestaff autonomy and reduce exposure to subspeciality physicians. This paper will review the literature exploring the effect of the hospitalist teaching model on resident and student education.
PMID: 18828164 [PubMed - indexed for MEDLINE]
[Read more →]
Tags: Mt Sinai J Med
Clinical prediction rules for hospitalists.
Mt Sinai J Med. 2008 Oct;75(5):472-7
Authors: Jervis R, McGinn T
PMID: 18828171 [PubMed - indexed for MEDLINE]
[Read more →]
Tags: Mt Sinai J Med
The Six Sigma initiative at Mount Sinai Medical Center.
Mt Sinai J Med. 2008 Jan-Feb;75(1):45-52
Authors: Chassin R
Lean Six Sigma, in various forms, has been used widely in many Fortune 500 companies. Motorola, General Electric, Sony, American Express, and Bechtel all use Six Sigma to improve quality and performance. While the impact of this methodology has been documented extensively by the press in manufacturing and transactional settings, less evidence is available regarding its utility in health care environments. Mount Sinai Medical Center initiated a Six Sigma program in 2000 to determine its applicability and value in a large academic medical center. This article discusses Mount Sinai Medical Center’s experience adapting this methodology to improve both patient care and business processes and outcomes. We present an overview of Six Sigma, and offer examples of projects undertaken using this data-driven approach to performance improvement. Lastly, the article provides insights and lessons learned regarding this organization-wide experience.
PMID: 18306249 [PubMed - indexed for MEDLINE]
[Read more →]
Tags: Mt Sinai J Med
