Recent ucsdsom_gmepsqisymposium_2022 items

Population-based evaluation of post-acute COVID-19 chronic sequelae in patients who tested positive for SARS-CoV-2

Thu, 9 Nov 2023 00:00:00 +0000

Background

Many patients who have been infected with SARS-CoV-2 continue to experience a constellation of symptoms for months following the initial phase of the infection, often referred to as “Long COVID.” Symptoms include fatigue, shortness of breath and cognitive dysfunction, which may impact daily functioning. The true incidence and comprehensive characteristics of Long COVID symptoms are currently unknown. This is the first population-based outreach study of Long COVID symptoms in patients within an entire health system, conducted to determine operational needs of the health system to care for patients with Long COVID at our multidisciplinary Post-COVID Care Clinic and in the primary care setting.

Methods

We conducted a survey of patients in our electronic health record (EHR) via email or SMS message who met these inclusion criteria: age 18 years or older, tested positive for COVID-19 at UCSDH between...

The RISE Project: The Surgery Resident Initiative for Sustaining a Successful Work Environment

Thu, 29 Jun 2023 00:00:00 +0000

Introduction: Since the ACGME first instituted duty hours restrictions in 2003, surgery training programs have faced challenges balancing resident wellbeing, quality of education, and quality of patient care. Despite prioritization and significant effort, our general surgery residency continues to be challenged with compliance related to the 80-hour work week. We sought to explore whether sophisticated quality and process improvement techniques borrowed from industry could be successfully applied to this complex problem in an effort to improve resident well-being and compliance.

Methods: Lean process improvement methodology was applied to examine the structure of our program, identify best practices in scheduling and day-to-day workflows, uncover variations and opportunities for improvement, and develop targeted countermeasures.

The team reviewed our work hour reporting system, work hours logged, work hour violation...

Physicians as “Patients”- Use of immersive simulated patient experiences to foster physician empathy and compassion

Sun, 18 Jun 2023 00:00:00 +0000

TITLE: Physicians as “Patients”- Use of immersive simulated patient experiences to foster physician empathy and compassion

AUTHORS: Aaron M. Lee, DO; Sean Kenmore, MD; Supraja Thota, MD; Constance Chance, MD; Anand Jagannath, MD

INSTITUTION: Internal Medicine, University of California-San Diego Medical Center

BACKGROUND

The importance of fostering physician empathy has become increasingly recognized as a critical aspect of physician training; among many things, increased physician empathy has been shown to lead to improved clinical outcomes, higher patient satisfaction, and decreased physician burnout. Despite this, there remains a paucity of interventions to effectively promote compassion and empathy in medical education. To address this void, we propose a set of novel immersive role-reversal simulation exercises which place...