Publications
We work hard to attract, retain, and support the most outstanding faculty, and are proud of their accomplishments, in areas ranging from clinical care to research, from systems improvement to medical education, and in locations that include our clinical sites in San Francisco and others around the globe. Since 2008, over 1600 articles have been published.
379. Association of patterns of multimorbidity with length of stay: A multinational observational study.
2020
382. Operationalizing the Operating Room: Ensuring Appropriate Surgical Care in the Era of COVID-19.
2020
2020
BACKGROUND
As the coronavirus disease 2019 (COVID-19) pandemic continues to spread, swift actions and preparation are critical for ensuring the best outcomes for patients and providers. We aim to describe our hospital and Department of Surgery's experience in preparing for the COVID-19 pandemic and caring for surgical patients during this unprecedented time.
STUDY DESIGN
This is a descriptive study outlining the strategy of a single academic health system for addressing the following 4 critical issues facing surgical departments during the COVID-19 pandemic: developing a cohesive leadership team and system for frequent communication throughout the department; ensuring adequate hospital capacity to care for an anticipated influx of COVID-19 patients; safeguarding supplies of blood products and personal protective equipment to protect patients and providers; and preparing for an unstable workforce due to illness and competing personal priorities, such as childcare.
RESULTS
Through collaborative efforts within the Department of Surgery and hospital, we provided concise and regular communication, reduced operating room volume by 80%, secured a 4-week supply of personal protective equipment, and created reduced staffing protocols with back-up staffing plans.
CONCLUSIONS
By developing an enabling infrastructure, a department can nimbly respond to crises like COVID-19 by promoting trust among colleagues and emphasizing an unwavering commitment to excellent patient care. Sharing principles and practical applications of these changes is important to optimize responses across the country and the world.
View on PubMed2020
Introduction
Intimate partner violence (IPV) is a prevalent problem with profound health consequences. Research suggests that internal medicine (IM) residents are unprepared to screen for and address IPV. We designed a curriculum to improve IM residents' knowledge, attitudes, and practices in caring for IPV survivors.
Methods
The curriculum was delivered to first-year IM residents from 2016 to 2017 at Johns Hopkins Bayview. Part 1 was 60 minutes long, with a video, evidence-based didactic teaching, and case-based discussion. Part 2 was 90 minutes long, with evidence-based didactic teaching, role-play of patient-provider conversations about IPV, and debriefing about strategies for discussing IPV. We evaluated knowledge, confidence, and self-reported behaviors pre- and postintervention using two-tailed paired tests.
Results
Thirty-two residents received IPV training. In comparing precurriculum ( = 29, 91% of total participants) and postcurriculum ( = 28, 88% of total participants) surveys, there was significant improvement in knowledge about IPV ( < .001). Postcurriculum, learners reported greater confidence in detecting IPV ( < .001), documenting IPV ( < .001), and referring to resources ( < .001). Participants reported increased comfort with managing difficult emotions about IPV in patients ( < .01) and themselves ( < .001) and increased comfort in discussing IPV with female ( < .001) and male ( < .001) patients. Postcurriculum, all respondents felt they were more skillful in discussing IPV and would be more likely to screen for IPV.
Discussion
Our curriculum improved residents' knowledge, confidence, comfort, and preparedness in screening for and discussing IPV.
View on PubMed385. Operationalizing the Operating Room: Ensuring Appropriate Surgical Care in the Era of COVID-19.
2020