{"id":"https://openalex.org/W2061529170","doi":"https://doi.org/10.1097/00001888-200401000-00021","title":"When Something Is Missing from the Resident\u2019s Presentation","display_name":"When Something Is Missing from the Resident\u2019s Presentation","publication_year":2004,"publication_date":"2004-01-01","ids":{"openalex":"https://openalex.org/W2061529170","doi":"https://doi.org/10.1097/00001888-200401000-00021","mag":"2061529170"},"language":"en","primary_location":{"id":"doi:10.1097/00001888-200401000-00021","doi":"https://doi.org/10.1097/00001888-200401000-00021","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00001888-200401000-00021","pdf_url":null,"source":{"id":"https://openalex.org/S19793444","display_name":"Academic Medicine","issn_l":"1040-2446","issn":["1040-2446","1938-808X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039093671","display_name":"Saul J. Weiner","orcid":"https://orcid.org/0000-0002-5637-5392","observed_orcids":["https://orcid.org/0000-0002-5637-5392"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Saul J. Weiner","raw_affiliation_strings":["The author wishes to acknowledge Simon Auster, MD, JD, for shared insights and for providing the quote attributed to Sir Richard W. Livingston"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The author wishes to acknowledge Simon Auster, MD, JD, for shared insights and for providing the quote attributed to Sir Richard W. Livingston","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5039093671"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":31,"citation_normalized_percentile":{"value":0.15313225,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"79","issue":"1","first_page":"101","last_page":"101"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.15160000324249268,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.15160000324249268,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10352","display_name":"Physical Activity and Health","score":0.07760000228881836,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.06480000168085098,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/residency-education","display_name":"resident education","score":0.4620000123977661},{"id":"https://openalex.org/keywords/physician-patient-relationship","display_name":"physician-patient relationship","score":0.781000018119812},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.5270000100135803},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.6269999742507935},{"id":"https://openalex.org/keywords/exercise-program","display_name":"exercise program","score":0.38100001215934753},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.5569999814033508},{"id":"https://openalex.org/keywords/patient-motivation","display_name":"patient motivation","score":0.38999998569488525},{"id":"https://openalex.org/keywords/smoking-cessation","display_name":"smoking cessation","score":0.32499998807907104},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9100000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5757769346237183},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.4318616986274719},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.35518431663513184},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.35306066274642944},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.21177321672439575}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/00001888-200401000-00021","doi":"https://doi.org/10.1097/00001888-200401000-00021","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00001888-200401000-00021","pdf_url":null,"source":{"id":"https://openalex.org/S19793444","display_name":"Academic Medicine","issn_l":"1040-2446","issn":["1040-2446","1938-808X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic Medicine","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2091291078","https://openalex.org/W2099121654","https://openalex.org/W2980497520","https://openalex.org/W2549685417","https://openalex.org/W4210879917","https://openalex.org/W52651847","https://openalex.org/W1512914011","https://openalex.org/W4410167931","https://openalex.org/W4321367662","https://openalex.org/W1978153238"],"abstract_inverted_index":{"\u201cA":[0],"technician":[1],"can":[2],"be":[3,315,333,360],"defined":[4],"as":[5,180,581,591],"one":[6],"who":[7,41],"knows":[8],"every":[9],"aspect":[10],"of":[11,46,48,115,199,255,300,320,325,327,403,437,460,523,536,604],"his":[12],"job\u2014except":[13],"its":[14],"ultimate":[15],"purpose":[16],"and":[17,39,44,50,66,89,106,118,159,185,222,241,249,286,322,329,350,521],"social":[18],"consequences.\u201d":[19],"\u2014Sir":[20],"Richard":[21],"W.":[22],"Livingston":[23],"(attrib.)":[24],"Yesterday,":[25],"in":[26,86,192,381,397,465,483,538,584],"clinic,":[27],"a":[28,34,76,78,94,113,152,156,160,216,218,318,404,426,430,451,457,470,508],"second-year":[29],"resident":[30,92,431],"told":[31,336],"me":[32,206],"about":[33],"59-year-old":[35],"woman":[36,154],"with":[37,131,155,215,317,371,439,497,546,577],"hypertension":[38],"diabetes":[40],"is":[42,422,425,443,473,494,503,558,593,600],"overweight":[43],"complained":[45],"shortness":[47],"breath":[49,256],"fatigue.":[51],"The":[52,91,355,587],"patient":[53,441,572],"reported":[54],"that":[55,67,96,138,168,207,231,339,394,419,420,429,442,492,506,511],"the":[56,62,178,197,243,301,401,406,435,481,489,504,513,539,547,560,564,571,602,605],"symptoms":[57],"had":[58,74,173,182,209,223,233,247,280,287],"gotten":[59],"worse":[60],"over":[61,177],"last":[63],"eight":[64],"months,":[65],"they":[68,453,530],"were":[69,396],"relieved":[70],"by":[71],"rest.":[72],"She":[73,110,150,201,229],"smoked":[75],"pack":[77],"day":[79],"for":[80,171,189,270,304,516],"ten":[81],"years":[82,179,220],"when":[83,258,555],"she":[84,181,208,232,250,392],"was":[85,140,151,237,408],"her":[87,125,172,187,193,263,273,282,305,312,344,365],"twenties":[88],"thirties.":[90],"recited":[93],"differential":[95],"included":[97],"silent":[98],"angina,":[99],"COPD,":[100],"asthma,":[101],"congestive":[102],"heart":[103],"failure,":[104],"hypothyroidism,":[105],"chronic":[107],"pulmonary":[108],"emboli.":[109],"ticked":[111],"off":[112,428],"list":[114,459],"blood":[116],"tests":[117,328],"imaging":[119],"studies":[120],"we":[121,164,340,351,385,395,462,549,569,589,607],"would":[122],"need.":[123],"As":[124,163,496],"clinic":[126],"preceptor":[127],"I":[128,133,136,146,166,310,335,390,414],"couldn\u2019t":[129],"disagree":[130],"anything":[132],"heard,":[134],"but":[135,376],"felt":[137,253],"something":[139],"missing.":[141],"A":[142],"few":[143],"moments":[144],"later":[145],"met":[147],"\u201cMs.":[148],"Wilson.\u201d":[149],"short":[153,190,254],"soft":[157],"handshake":[158],"polite":[161],"smile.":[162],"talked,":[165],"learned":[167,464],"getting":[169],"around":[170],"become":[174],"increasingly":[175],"difficult":[176],"gained":[183],"weight":[184],"used":[186],"car":[188],"trips":[191],"neighborhood":[194],"to":[195,204,225,267,284,342,359,363,378,412,417,445,594,601],"avoid":[196],"effort":[198],"walking.":[200],"went":[202],"on":[203,211,239,346,559],"tell":[205],"embarked":[210],"an":[212,347,372,517,526],"exercise":[213,285,321,348],"program":[214],"friend":[217,264],"couple":[219],"ago,":[221],"started":[224],"feel":[226],"much":[227,330],"better.":[228],"noted":[230],"lost":[234,281],"considerable":[235],"weight,":[236],"shopping":[238],"foot,":[240],"enjoyed":[242],"exercise.":[244],"Her":[245],"mood":[246],"improved":[248],"no":[251],"longer":[252],"even":[257],"exercising.":[259],"Last":[260],"year,":[261],"however,":[262,529],"left":[265],"town":[266],"help":[268],"care":[269],"grandchildren":[271],"following":[272],"daughter\u2019s":[274],"divorce.":[275],"Since":[276,475],"then,":[277],"Ms.":[278,294,337,498],"Wilson":[279,338],"motivation":[283],"fallen":[288],"back":[289,345],"into":[290,480,573],"old":[291],"sedentary":[292],"habits.":[293],"Wilson\u2019s":[295],"story":[296],"ruled":[297],"out":[298],"most":[299],"organic":[302],"causes":[303],"medical":[306,466,540],"complaints.":[307],"After":[308],"all,":[309],"knew":[311],"problems":[313],"could":[314,332],"resolved":[316],"bit":[319],"companionship.":[323],"Thousands":[324],"dollars":[326],"inconvenience":[331],"avoided.":[334],"needed":[341,444],"get":[343],"program,":[349],"discussed":[352],"several":[353],"options.":[354,389],"biggest":[356],"problem":[357],"seemed":[358],"finding":[361],"someone":[362],"replace":[364],"friend.":[366],"We":[367],"didn\u2019t":[368],"come":[369],"up":[370],"entirely":[373],"satisfactory":[374],"plan,":[375],"agreed":[377],"meet":[379],"again":[380],"two":[382],"weeks":[383],"while":[384],"each":[386],"explored":[387],"various":[388],"think":[391],"appreciated":[393],"this":[398,598],"together.":[399],"From":[400],"perspective":[402],"clinician\u2013educator,":[405],"episode":[407],"all":[409,463],"too":[410],"familiar":[411],"me.":[413],"am":[415],"coming":[416],"appreciate":[418],"\u201csomething":[421],"missing\u201d":[423],"feeling":[424],"tip":[427],"has":[432],"not":[433,478],"formed":[434],"kind":[436],"relationship":[438],"their":[440,487,585],"gain":[446],"essential":[447,597],"information.":[448],"Instead,":[449],"like":[450],"technician,":[452],"are":[454,531,553],"working":[455],"through":[456],"laundry":[458],"questions":[461,568],"school.":[467],"Paradoxically":[468],"such":[469],"direct":[471],"approach":[472],"inefficient.":[474],"it":[476,502],"does":[477],"tap":[479],"way":[482],"which":[484],"patients":[485],"live":[486],"lives,":[488],"clinical":[490,519],"picture":[491],"emerges":[493],"incomplete.":[495],"Wilson,":[499],"so":[500],"often":[501,532,542],"strands":[505],"tie":[507],"narrative":[509],"together":[510],"constitute":[512],"critical":[514],"data":[515],"optimal":[518],"assessment":[520],"plan":[522],"care.":[524,586],"Without":[525],"engaged":[527,576],"questioner,":[528],"politely":[533],"omitted.":[534],"Those":[535],"us":[537],"profession":[541],"form":[543],"rich":[544],"relationships":[545,552],"people":[548],"help.":[550],"Such":[551],"inevitable":[554],"our":[556,567],"focus":[557],"person":[561],"rather":[562],"than":[563],"disease.":[565],"Through":[566],"draw":[570],"becoming":[574],"actively":[575],"us,":[578],"enlisting":[579],"them":[580],"full":[582],"participants":[583],"challenge":[588],"face":[590],"educators":[592],"convey":[595],"how":[596],"process":[599],"quality":[603],"service":[606],"provide.":[608]},"counts_by_year":[{"year":2023,"cited_by_count":15},{"year":2019,"cited_by_count":1},{"year":2015,"cited_by_count":15}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
