Julianna J Jung

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STUDY OBJECTIVE We identify patient characteristics associated with uncompleted visits to the emergency department (ED). METHODS We used registration and billing data to conduct a pair-matched case-control study. ED patients who left without being seen (cases) between July 1 and December 31, 2004, were matched to patients who stayed and were treated(More)
PURPOSE Research suggests that medical students are not accurate in self-assessment, but it is not clear whether students over- or underestimate their skills or how certain characteristics correlate with accuracy in self-assessment. The goal of this study was to determine the effect of gender and anxiety on accuracy of students' self-assessment and on(More)
BACKGROUND Emergency medicine (EM) is commonly introduced in the fourth year of medical school because of a perceived need to have more experienced students in the complex and dynamic environment of the emergency department. However, there is no evidence supporting the optimal time or duration for an EM rotation, and a number of institutions offer(More)
OBJECTIVES To compare the patient characteristics, clinical conditions, and short-term recidivism rates of emergency department (ED) patients who leave against medical advice (AMA) with those who leave without being seen (LWBS) or complete their ED care. METHODS All eligible patients who visited the ED between July 1, 2004, and June 30, 2005 (N = 31,252)(More)
BACKGROUND Assessment practices in emergency medicine (EM) clerkships have not been previously described. Clinical assessment frequently relies on global ratings of clinical performance, or "shift cards," although these tools have not been standardized or studied. OBJECTIVE We sought to characterize assessment practices in EM clerkships, with particular(More)
PROBLEM Increasing emphasis on revenue generation could jeopardize the fundamental notion of what it means to be faculty. Despite being a core mission, education is often marginalized in academic medical departments, and expectations of faculty effort in this area are often vague. A potential solution is mission-based budgeting (MBB), which refers to the(More)
Patient survival after cardiac arrest can be improved significantly with prompt and effective resuscitative care. This systematic review analyzes the basic life support factors that improve survival outcome, including chest compression technique and rapid defibrillation of shockable rhythms. For patients who are successfully resuscitated, comprehensive(More)
OBJECTIVE The objective was to compare resuscitation performance on simulated in-hospital cardiac arrests after traditional American Heart Association (AHA) Healthcare Provider Basic Life Support course (TradBLS) versus revised course including in-hospital skills (HospBLS). DESIGN This study is a prospective, randomized, controlled curriculum evaluation.(More)
INTRODUCTION Assessment of medical students in their emergency medicine (EM) clerkship is often based on clinical shift evaluations and written examinations. Clinical evaluations offer some insight into students’ ability to apply knowledge to clinical problems, but are notoriously unreliable, with score variance that may be driven as much by error as by(More)