Michael H Nagoshi

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OBJECTIVES To evaluate the attitudes and knowledge of medical students (MS1-3), internal medicine residents (postgraduate years 1 to 3 (PGY1-3)), and geriatric medicine fellows about elderly patients before implementation of a new geriatrics curriculum. DESIGN Cross-sectional study. SETTING An academic medical center. PARTICIPANTS Two hundred eleven(More)
PURPOSE Medical schools and residency programs are placing additional emphasis on including clinical geriatrics competencies within their curricula. An eight-station, Geriatric Medicine Standardized Patient Examination (GSPX) was studied as a method to assess bedside geriatrics clinical skills over the continuum of medical education from medical school(More)
BACKGROUND Surgeons infrequently provide smoking cessation counseling for patients, in part because they lack training to do so. We investigated the efficacy of 2 methods of teaching smoking cessation counseling to surgical residents. METHODS Residents' knowledge and attitude toward smoking cessation counseling were assessed by written test. Counseling(More)
Standardized patients are volunteers from the community who participate actively in the teaching and evaluation of our future physicians. The SP program augments medical student learning in both clinical and basic sciences by providing opportunities to practice on patients who are available and willing to be examined. SPs allow "teachable moments" to be(More)
We redesigned our medical school's Problem-Based Learning (PBL) curriculum to include a substantial increase in required geriatrics content. Innovations included new PBL health care problems and standardized patients (SPs) throughout the first three years and a new required four-week, fourth-year rotation. We used data from the AAMC Medical School(More)
The interdisciplinary team (IDT) approach is critical in the care of elderly adults. Performance-based tools to assess IDT skills have not been well validated. A novel assessment tool, the standardized patient (SP) and standardized interdisciplinary team meeting (SIDTM), consisting of two stations, was developed. First, trainees evaluate a SP hospitalized(More)
Diabetic nephropathy is the major cause of death in patients with type I diabetes mellitus and accounts for one forth of all patients with end stage renal disease. Once the renal disease becomes established, glycemic control does not significantly delay its progression. Microalbuminuria has been shown to be an early marker for the subsequent development of(More)
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