BACKGROUND Aga Khan University is developing its undergraduate medical education curriculum for East Africa. In Kenya, a 1 year internship is mandatory for medical graduates' registration as practitioners. The majority of approved internship training sites are at district hospitals. The purposes of this study were to determine: (1) whether recent Kenyan medical graduates are prepared for their ...

OBJECTIVE: Theories from the psychology of communication may be applicable in understandingwhy hand-off communication is inherently problematic. Thepurposeof this studywas toassesswhetherpostcall pediatric interns can correctly estimate the patient care information and rationale received by on-call interns during hand-off communication. METHODS: Pediatric interns at the University of Chicago we...

OBJECTIVES Basic surgical skills are frequently taught to surgical interns in simulation centers. Faculty recruitment for teaching of these sessions can be difficult. The goal of this study was to determine whether senior surgical residents can effectively teach basic surgical skills to provide an alternative to faculty-led instruction. DESIGN, SETTING, AND PARTICIPANTS Academic medical cente...

OBJECTIVE To gain better understanding of the work-preparedness of new interns and identify areas where further training and education should be provided. DESIGN Surveys of new interns assessing self-reported confidence and preparedness for tasks commonly undertaken without direct supervision. The first survey was undertaken before the cohort had started work, the second once they had complet...

BACKGROUND On-call duty among medical interns is characterized by sleep deprivation and stressful working conditions, both of which alter cardiac autonomic modulation. We hypothesized that sleep stability decreased in medical interns during on-call duty. We used cardiopulmonary-coupling (CPC) analysis to test our hypothesis. METHODS We used electrocardiogram (ECG)-based CPC analysis to quanti...

 To evaluate and determine differences between attitudes of internal medicine interns and residents toward pressure ulcer (PU) prevention and to evaluate the interns' abilities to accurately identify wounds and stage PUs, an exploratory, quantitative study was conducted in a 639-bed, safety net academic center. Participants (21 internal medicine interns and 21 internal medicine ...

OBJECTIVES Despite the profound structural reform of the health service in Poland, the present organizational system of health care is subject to severe criticism. It is described as unjust and enhancing malpractice as well as migration of young doctors abroad. The commonly expressed disapproval and own observations on the organization and functions of health care are expected to affect future ...

INTRODUCTION Basic invasive procedural skills are traditionally taught during clerkships. Using simulation to teach invasive skills provides students the opportunity to practice in a structured environment without risking patient safety. We surveyed incoming interns at Thomas Jefferson University Hospital to assess the prevalence of simulation training for invasive and semi-invasive procedural ...

BACKGROUND Assessing the baseline competency of incoming interns is a challenge to faculty of all residency programs. This article describes and evaluates the Intern Clinical Judgment Evaluation, a tool developed to test the clinical judgment and communication skills of incoming interns. METHODS During orientation week, each intern is evaluated using structured clinical scenarios modeled afte...

In this study, we examined internship as a recruitment and selection process. On the basis of impression management theory, we hypothesized that both organizations and interns make efforts to impress the other party during the internship if they intend to hire or be hired. Using longitudinal data collected at 3 points from 122 intern–supervisor dyads in the United States, we found that 60% of i...