Chest X-ray severity score Brixia: From marker of early COVID-19 infection to predictor of worse outcome in internal medicine wards.
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ABSTRACT:
SUBMITTER: Carbone F
PROVIDER: S-EPMC10078553 | biostudies-literature | 2023 Feb
REPOSITORIES: biostudies-literature
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Chest X-ray severity score Brixia: From marker of early COVID-19 infection to predictor of worse outcome in internal medicine wards.
Carbone Federico F Casaleggio Alessandro A Fiannacca Martina M Borda Fabio F Ministrini Stefano S Vischi Giulia G Carpaneto Valeria V Sobrero Matteo M Monti Chiara C De Stefano Daria D Saccomanno Benedetta B Massone Marcella M Piccardo Arianna A Calvia Alessandro A Vischi Federica F Bagnasco Maddalena M Magnani Ottavia O Caiti Matteo M Cenni Elisabetta E Ballarino Paola P Giuntini Patrizia P Barreca Alessandra A Tognoni Chiara C Pirisi Federica F Canepa Paolo P Cerminara Domenico D Pelanconi Lisa L Strozzi Michele M Thneibat Amedeo A Stabile Mario M Felix Edineia E Dasso Selena S Casini Cecilia C Minetti Alberto A Poggi Andrea Lorenzo AL Gonella Roberta R Ferrando Fabio F Bellodi Andrea A Ballestrero Alberto A Barbera Paolo P Arboscello Eleonora E Pende Aldo A Moscatelli Paolo P Cittadini Giuseppe G Montecucco Fabrizio F
European journal of clinical investigation 20221121 2
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Project description:IntroductionThe July effect refers to an increase in adverse outcomes during periods of physician trainee turnover in teaching hospitals. We created an interactive resident-led curriculum to train new internal medicine interns for routine encounters on inpatient wards by role-playing through mock paging scenarios and focusing on practical information relevant to intern year.MethodsA formal assessment of the academic year 2018 intern boot camp curriculum revealed that interns preferred sessions that involved active learning strategies and covered common issues. In the first week of academic year 2019, interns participated in two 1-hour small-group sessions involving mock paging scenarios. Interns were divided into small groups with one facilitator who was a senior medicine resident. Within these groups, facilitators acted as the nurse and provided pages. Interns took turns answering these mock pages based on a sign-out of patients. The facilitator emphasized desired learner actions and teaching points using a provided guide.ResultsTwenty interns participated in the curriculum. Interns rated the curriculum highly and felt that the sessions improved their knowledge, comfort, and skills in managing routine inpatient encounters. On a 2-week follow-up knowledge test to determine if they retained the information from the curriculum, interns scored an average of 85% (response rate: 60%, N = 12), indicating that they could apply the knowledge/skills learned to new scenarios.DiscussionThis curriculum prepares medicine interns to manage common inpatient issues at the beginning of their residency. After completing the curriculum, interns reported increased confidence in handling these issues.
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