MA Kathlyn E. Fletcher MD

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The ACGME-released revisions to the 2003 duty hour standards. To review the impact of the 2003 duty hour reform as it pertains to resident and patient outcomes. Medline (1989–May 2010), Embase (1989–June 2010), bibliographies, pertinent reviews, and meeting abstracts. We included studies examining the relationship between the pre- and post-2003 time periods(More)
Patient-centered care requires that physicians understand patients’ perspectives. Since the resident work hour rules were instituted, little information is available about how patients perceive these issues. Our objectives were to explore patients’ knowledge, concerns, and attitudes about resident work hours, fatigue, and continuity of inpatient care and to(More)
Geographical localization of hospitalist teams to nursing units may have an impact on the quality of inpatient care. The perceptions of individuals who provide patient care in a localized model of care have not been adequately studied. To determine the impact of geographic localization of hospitalist teams by evaluating the perceptions of hospitalists(More)
The Spanish-speaking population in the U.S. is large and growing and is known to have lower health literacy than the English-speaking population. Less is known about the health numeracy of this population due to a lack of health numeracy measures in Spanish. we aimed to develop and validate a short and easy to use measure of health numeracy for(More)
Health numeracy can be defined as the ability to use numeric information in the context of health. The interpretation and application of numbers in health may vary across cultural groups. To explore the construct of health numeracy among persons who identify as Mexican American. Qualitative focus group study. Groups were stratified by preferred language and(More)
T he importance of patient care in the development of future physicians has been recognized since well before Osler’s time. Indeed, patient care experiences are the cornerstone of undergraduate and graduate medical education. While the purpose of residency training is to cultivate competent physicians primarily through direct patient care experiences, the(More)
The work of house staff is being increasingly scrutinized as duty hours continue to be restricted. To describe the distribution of work performed by internal medicine interns while on call. Prospective time motion study on general internal medicine wards at a VA hospital affiliated with a tertiary care medical center and internal medicine residency program.(More)
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