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OBJECTIVE To develop a meta-analysis to determine the effectiveness of rehabilitation in patients with chronic obstructive pulmonary disease (COPD). DATA SOURCES medline, cinhal, and Cochrane Library searches for trials of rehabilitation for COPD patients. Abstracts presented at national meetings and the reference lists of pertinent articles were(More)
CONTEXT Clinician-educators have concerns about their ability to be promoted and the criteria used by medical school promotion committees. OBJECTIVE To discover the criteria and methods that medical school promotion committees use to make decisions about the promotion of clinician-educators. METHODS In June 1996 we mailed a questionnaire to chairpersons(More)
OBJECTIVE Department of medicine chairs have a critical role in the promotion of clinician-educators. Our primary objective was to determine how chairs viewed: 1) the importance of specific areas of clinician-educator performance in promotion decisions; and 2) the importance and quality of information on available measures of performance. A secondary(More)
OBJECTIVE The study's objectives were to determine (1) the rate at which department of medicine faculty in the United States are promoted, (2) if clinician-educators (CEs) are promoted to Associate Professor at the same rate as clinician-investigators (CIs), and (3) the variables that predict promotion. METHODS The Prospective Study of Promotion in(More)
OBJECTIVES To determine what clinician-educators consider important for promotion, and what support they find helpful and useful for success. DESIGN Cross-sectional study. SETTING Eighty academic medical centers in the United States. PARTICIPANTS One hundred eighty-three participants of the Prospective Study of Promotion in Academia comprising(More)
OBJECTIVE To understand what motivates academic physicians at a time when physician dissatisfaction is prevalent. SUBJECTS AND METHODS Of a cohort of 480 physician faculty members (identified from the Association of American Medical Colleges faculty roster) hired at the assistant professor level, 183 were monitored prospectively for a characterization of(More)
CONTEXT The ways hospitalists interact with and contribute to internal medicine residencies in the United States have been described locally, but have not been documented on a national level. OBJECTIVES To describe the penetration of hospitalists into medicine residency faculty nationally, and document their contributions to teaching activities. DESIGN,(More)
BACKGROUND With advancing technology and flourishing medical information on the Internet, we studied the use of palmtop (handheld) computers by internal medicine residents. METHODS At a university-community hospital consortium, nine internal medicine residents and their program director participated in an 8-month cohort pilot study using palmtop computers(More)
Conventional wisdom and professional ethics generally dictate that physicians should avoid doctoring family members because of potential conflicts of interest. Nevertheless, cross-sectional surveys find that the practice is commonplace. Physicians have unique opportunities to influence their family member's care because they possess knowledge and status(More)
CONTEXT As medical schools turn to community physicians for ambulatory care teaching, assessing the preparation of these faculty in principles of evidence-based medicine (EBM) becomes important. OBJECTIVE To determine the knowledge and attitudes of community faculty concerning EBM and their use of EBM in patient care and teaching. DESIGN Cross-sectional(More)