{"id":"https://openalex.org/W2329908922","doi":"https://doi.org/10.1097/acm.0000000000000459","title":"In Reply to Sedgh","display_name":"In Reply to Sedgh","publication_year":2014,"publication_date":"2014-09-24","ids":{"openalex":"https://openalex.org/W2329908922","doi":"https://doi.org/10.1097/acm.0000000000000459","mag":"2329908922","pmid":"https://pubmed.ncbi.nlm.nih.gov/25247540"},"language":"en","primary_location":{"id":"doi:10.1097/acm.0000000000000459","doi":"https://doi.org/10.1097/acm.0000000000000459","is_oa":false,"landing_page_url":"https://doi.org/10.1097/acm.0000000000000459","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":"letter","indexed_in":["crossref","pubmed"],"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/A5103147401","display_name":"Robert B. Baron","orcid":"https://orcid.org/0000-0001-7115-2667","observed_orcids":["https://orcid.org/0000-0001-7115-2667"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]},{"id":"https://openalex.org/I2251586001","display_name":"Singapore General Hospital","ror":"https://ror.org/036j6sg82","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I2251586001"]},{"id":"https://openalex.org/I4210110664","display_name":"University of California San Francisco Medical Center","ror":"https://ror.org/01t8svj65","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210110664"]}],"countries":["SG","US"],"is_corresponding":false,"raw_author_name":"Robert B. Baron","raw_affiliation_strings":["Professor of medicine and associate dean for graduate and continuing medical education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California; baron@medicine.ucsf.edu. Associate professor of pediatrics, Division of Hospital Medicine, Department of Pediatrics, and director of quality and safety programs, Office of Graduate Medical Education, University of California, San Francisco, School of Medicine, San Francisco, California. Professor of medicine, Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, and associate chief medical officer, UCSF Medical Center, San Francisco, California. Consultant, Division of Internal Medicine, Singapore General Hospital, and associate professor of education and Health Systems and Services Research, Duke-NUS Graduate Medical School, Singapore","California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor of medicine and associate dean for graduate and continuing medical education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California; baron@medicine.ucsf.edu. Associate professor of pediatrics, Division of Hospital Medicine, Department of Pediatrics, and director of quality and safety programs, Office of Graduate Medical Education, University of California, San Francisco, School of Medicine, San Francisco, California. Professor of medicine, Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, and associate chief medical officer, UCSF Medical Center, San Francisco, California. Consultant, Division of Internal Medicine, Singapore General Hospital, and associate professor of education and Health Systems and Services Research, Duke-NUS Graduate Medical School, Singapore","institution_ids":["https://openalex.org/I180670191","https://openalex.org/I2251586001","https://openalex.org/I4210110664"]},{"raw_affiliation_string":"California","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020634135","display_name":"Glenn Rosenbluth","orcid":"https://orcid.org/0000-0003-0186-9755","observed_orcids":["https://orcid.org/0000-0003-0186-9755"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Glenn Rosenbluth","raw_affiliation_strings":["Professor of medicine and associate dean for graduate and continuing medical education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California","California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor of medicine and associate dean for graduate and continuing medical education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"California","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024165474","display_name":"Adrienne L. Green","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adrienne L. Green","raw_affiliation_strings":["Professor of medicine and associate dean for graduate and continuing medical education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California","California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor of medicine and associate dean for graduate and continuing medical education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"California","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110781546","display_name":"Arpana R. Vidyarthi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arpana R. Vidyarthi","raw_affiliation_strings":["Professor of medicine and associate dean for graduate and continuing medical education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California","California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor of medicine and associate dean for graduate and continuing medical education, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco, California","institution_ids":["https://openalex.org/I180670191"]},{"raw_affiliation_string":"California","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"89","issue":"10","first_page":"1316","last_page":"1316"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.6845999956130981,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.6845999956130981,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.17870000004768372,"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/T12174","display_name":"Hospital Admissions and Outcomes","score":0.05570000037550926,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"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/postgraduate-medical-education","display_name":"graduate medical education","score":0.8960000276565552},{"id":"https://openalex.org/keywords/hand-hygiene-compliance","display_name":"hand hygiene compliance","score":0.75},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.8740000128746033},{"id":"https://openalex.org/keywords/patient-throughput","display_name":"patient throughput","score":0.5929999947547913},{"id":"https://openalex.org/keywords/clinical-learning-environment","display_name":"clinical learning environment","score":0.7049999833106995},{"id":"https://openalex.org/keywords/health-care-value","display_name":"health care value","score":0.7049999833106995},{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.671999990940094},{"id":"https://openalex.org/keywords/therapeutic-drug-monitoring","display_name":"therapeutic drug monitoring","score":0.5690000057220459},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.7160000205039978},{"id":"https://openalex.org/keywords/clinical-documentation","display_name":"clinical documentation","score":0.6079999804496765},{"id":"https://openalex.org/keywords/teaching-hospitals","display_name":"teaching hospitals","score":0.7110000252723694},{"id":"https://openalex.org/keywords/university-of-california-san-francisco","display_name":"University of California, San Francisco","score":0.6299999952316284}],"concepts":[{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.5631675124168396},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.5023882389068604},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4814438223838806},{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.4575026333332062},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.45483464002609253},{"id":"https://openalex.org/C2778217808","wikidata":"https://www.wikidata.org/wiki/Q5683658","display_name":"Haven","level":2,"score":0.4444333612918854},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3828539252281189},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.36389124393463135},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3029073476791382},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.17017468810081482},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0},{"id":"https://openalex.org/C114614502","wikidata":"https://www.wikidata.org/wiki/Q76592","display_name":"Combinatorics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D004503","descriptor_name":"Education, Medical, Graduate","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007396","descriptor_name":"Internship and Residency","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D012052","descriptor_name":"Reimbursement, Incentive","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016730","descriptor_name":"Program Development","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/acm.0000000000000459","doi":"https://doi.org/10.1097/acm.0000000000000459","is_oa":false,"landing_page_url":"https://doi.org/10.1097/acm.0000000000000459","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"},{"id":"pmid:25247540","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25247540","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Academic medicine : journal of the Association of American Medical Colleges","raw_type":"Letter"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":1,"referenced_works":["https://openalex.org/W2051088540"],"related_works":["https://openalex.org/W2051088540","https://openalex.org/W2330267265","https://openalex.org/W4414573950","https://openalex.org/W1974914558","https://openalex.org/W7203619190","https://openalex.org/W3154362489","https://openalex.org/W3102024369","https://openalex.org/W2009502666","https://openalex.org/W2024153712","https://openalex.org/W85046408"],"abstract_inverted_index":{"We":[0,161,209,300],"are":[1,156],"pleased":[2],"to":[3,68,114,147,172,193,239,305],"learn":[4],"more":[5],"about":[6],"Dr.":[7,314],"Sedgh":[8],"and":[9,15,26,54,57,76,104,124,131,134,164,233,243,265,287,297,307,332,345,350,389,393,434,457,462,465],"colleagues\u2019":[10],"experiences":[11],"with":[12,110,245],"a":[13,32,94],"resident":[14,130],"fellow":[16,132],"quality":[17,121,392],"improvement":[18,236],"(QI)":[19],"incentive":[20],"program":[21,231],"at":[22,157],"Bronx\u2013Lebanon":[23],"Hospital":[24,42,53,384,421],"Center":[25],"Maimonides":[27],"Medical":[28,47,55,399,440,470],"Center.":[29],"They":[30],"join":[31],"group":[33],"of":[34,43,71,97,122,181,256,281,343,355,360,363,368,380,383,387,391,397,402,407,417,420,424,427,432,451,460],"teaching":[35,106],"hospitals,":[36],"including":[37,100,220],"Yale\u2013New":[38],"Haven":[39],"Hospital,":[40,61,456],"Children\u2019s":[41],"Colorado,":[44],"Duke":[45],"University":[46,70,362,401,426],"Center,":[48,56,441],"Palmetto":[49],"Health,":[50],"St.":[51],"Joseph\u2019s":[52],"San":[58,73,365,370,404,409,429,442],"Francisco":[59,74],"General":[60,356,455],"that":[62,86,240,302],"have":[63,145,162,210,259,268,291],"also":[64,211],"implemented":[65],"programs":[66,258,303],"similar":[67,304],"our":[69,141,166,213,257],"California,":[72,364,403,428],"Resident":[75],"Fellow":[77],"Quality":[78],"Improvement":[79],"Incentive":[80],"Program.1":[81],"It":[82],"is":[83],"increasingly":[84],"clear":[85],"this":[87,111],"model":[88],"can":[89,324],"be":[90],"used":[91],"effectively":[92],"in":[93,118,200,204,206,294,319],"wide":[95],"variety":[96],"clinical":[98,137,272,278,285,334],"settings,":[99],"university,":[101],"children\u2019s,":[102],"community,":[103],"public":[105],"hospitals.":[107],"Our":[108,152,191],"experience":[109],"approach":[112],"continues":[113],"demonstrate":[115],"important":[116],"improvements":[117,293],"patient":[119,153,189,276,288,326],"experience,":[120],"care,":[123,282],"health":[125,246,329],"care":[126,327,330],"value":[127],"while":[128],"building":[129],"competence":[133],"improving":[135,188],"the":[136,179,250,333],"learning":[138,335],"environment.":[139,336],"Since":[140],"published":[142],"report,":[143],"we":[144,177],"continued":[146],"work":[148,192,214],"on":[149,215],"ambitious":[150],"goals.":[151,262],"satisfaction":[154],"measures":[155],"their":[158,261],"highest":[159],"level.":[160],"increased":[163,178],"sustained":[165],"observed":[167],"institution-wide":[168],"hand":[169],"hygiene":[170],"compliance":[171],"over":[173,201,254],"90%.":[174],"This":[175],"year,":[176],"percentage":[180],"patients":[182],"who":[183],"were":[184],"discharged":[185],"before":[186],"noon,":[187],"throughput.":[190],"reduce":[194],"laboratory":[195],"test":[196],"volume":[197],"has":[198],"resulted":[199],"$2":[202],"million":[203],"savings":[205],"three":[207],"years.2":[208],"expanded":[212],"program-specific":[216],"QI":[217,322],"goals,":[218],"now":[219],"several":[221],"fellowship":[222,230],"programs.":[223],"In":[224],"these":[225],"projects,":[226],"each":[227],"residency":[228],"or":[229],"develops":[232],"implements":[234],"an":[235],"goal":[237],"specific":[238],"program\u2019s":[241],"needs":[242],"aligned":[244,321],"system":[247],"priorities.":[248],"Over":[249],"last":[251],"two":[252],"years,":[253],"two-thirds":[255],"achieved":[260],"These":[263],"resident-":[264],"fellow-led":[266],"projects":[267],"improved":[269],"preventive":[270],"services,":[271,286],"practice,":[273],"medication":[274],"monitoring,":[275],"education,":[277,353],"documentation,":[279],"transitions":[280],"communication":[283],"between":[284],"education.":[289],"Projects":[290],"included":[292],"both":[295],"inpatient":[296],"outpatient":[298],"settings.":[299],"believe":[301],"ours":[306],"others,":[308],"such":[309],"as":[310],"those":[311],"described":[312],"by":[313],"Sedgh,":[315],"which":[316],"engage":[317],"learners":[318],"institutionally":[320],"efforts,":[323],"improve":[325],"outcomes,":[328],"value,":[331],"Robert":[337],"B.":[338],"Baron,":[339],"MD,":[340],"MS":[341],"Professor":[342,416],"medicine":[344],"associate":[346,435,458],"dean":[347],"for":[348],"graduate":[349],"continuing":[351],"medical":[352,437],"Division":[354,382,419,450],"Internal":[357,452],"Medicine,":[358,361,369,385,408,422,425,433,453],"Department":[359,386,423],"Francisco,":[366,371,405,410,430,443],"School":[367,406,431],"California;":[372],"[email":[373],"protected]":[374],"Glenn":[375],"Rosenbluth,":[376],"MD":[377,415,448],"Associate":[378],"professor":[379,459],"pediatrics,":[381],"Pediatrics,":[388],"director":[390],"safety":[394],"programs,":[395],"Office":[396],"Graduate":[398,469],"Education,":[400],"California.":[411,444],"Adrienne":[412],"L.":[413],"Green,":[414],"medicine,":[418],"chief":[436],"officer,":[438],"UCSF":[439],"Arpana":[445],"R.":[446],"Vidyarthi,":[447],"Consultant,":[449],"Singapore":[454],"education":[461],"Health":[463],"Systems":[464],"Services":[466],"Research,":[467],"Duke-NUS":[468],"School,":[471],"Singapore.":[472]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}