{"id":"https://openalex.org/W2913981102","doi":"https://doi.org/10.14309/00000434-201710001-01144","title":"What Do I Need to Know About Feeding Tubes? Assessing the Effect of a Multi-modal Educational Effort on Internal Medicine Residents\u02bc Competence in Discussing Feeding Tube Placement","display_name":"What Do I Need to Know About Feeding Tubes? Assessing the Effect of a Multi-modal Educational Effort on Internal Medicine Residents\u02bc Competence in Discussing Feeding Tube Placement","publication_year":2017,"publication_date":"2017-10-01","ids":{"openalex":"https://openalex.org/W2913981102","doi":"https://doi.org/10.14309/00000434-201710001-01144","mag":"2913981102"},"language":"en","primary_location":{"id":"doi:10.14309/00000434-201710001-01144","doi":"https://doi.org/10.14309/00000434-201710001-01144","is_oa":false,"landing_page_url":"https://doi.org/10.14309/00000434-201710001-01144","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","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":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"article","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/A5022928031","display_name":"Andrea L. Betesh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210086933","display_name":"NYU Langone Health","ror":"https://ror.org/005dvqh91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210086933"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrea Betesh","raw_affiliation_strings":["New York University Langone Medical Center, New York, NY","\"; New York University Langone Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"New York University Langone Medical Center, New York, NY","institution_ids":["https://openalex.org/I4210086933"]},{"raw_affiliation_string":"\"; New York University Langone Medical Center","institution_ids":["https://openalex.org/I4210086933"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063587957","display_name":"Dana Zalkin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dana Zalkin","raw_affiliation_strings":["New York University School of Medicine, New York, NY;3. NYU School of Medicine, New York, NY","\"New York University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"New York University School of Medicine, New York, NY;3. NYU School of Medicine, New York, NY","institution_ids":["https://openalex.org/I57206974"]},{"raw_affiliation_string":"\"New York University School of Medicine","institution_ids":["https://openalex.org/I57206974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020163130","display_name":"Peter S. Liang","orcid":"https://orcid.org/0000-0002-4160-421X","observed_orcids":["https://orcid.org/0000-0002-4160-421X"]},"institutions":[{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter S. Liang","raw_affiliation_strings":["New York University School of Medicine, New York, NY;3. NYU School of Medicine, New York, NY","\"New York University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"New York University School of Medicine, New York, NY;3. NYU School of Medicine, New York, NY","institution_ids":["https://openalex.org/I57206974"]},{"raw_affiliation_string":"\"New York University School of Medicine","institution_ids":["https://openalex.org/I57206974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071883181","display_name":"Michael H. Perskin","orcid":"https://orcid.org/0000-0003-0924-416X","observed_orcids":["https://orcid.org/0000-0003-0924-416X"]},"institutions":[{"id":"https://openalex.org/I4210086933","display_name":"NYU Langone Health","ror":"https://ror.org/005dvqh91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210086933"]},{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael H. Perskin","raw_affiliation_strings":[". NYU School of Medicine, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". NYU School of Medicine, New York, NY","institution_ids":["https://openalex.org/I4210086933","https://openalex.org/I57206974"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027825148","display_name":"Lisa B. Malter","orcid":"https://orcid.org/0000-0002-4026-5041","observed_orcids":["https://orcid.org/0000-0002-4026-5041"]},"institutions":[{"id":"https://openalex.org/I4210086933","display_name":"NYU Langone Health","ror":"https://ror.org/005dvqh91","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210086933"]},{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lisa B. Malter","raw_affiliation_strings":[". NYU School of Medicine, New York, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". NYU School of Medicine, New York, NY","institution_ids":["https://openalex.org/I4210086933","https://openalex.org/I57206974"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.31635442,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"112","issue":null,"first_page":"S624","last_page":"S625"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.6592000126838684,"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"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.6592000126838684,"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/T10858","display_name":"Clinical Nutrition and Gastroenterology","score":0.23510000109672546,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.025100000202655792,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/feeding-tube","display_name":"feeding tube","score":0.9120000004768372},{"id":"https://openalex.org/keywords/enteral-nutrition","display_name":"enteral nutrition","score":0.8989999890327454},{"id":"https://openalex.org/keywords/feeding-tube-placement","display_name":"feeding tube placement","score":0.7799999713897705},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.9430000185966492},{"id":"https://openalex.org/keywords/ibooks","display_name":"iBooks","score":0.6290000081062317},{"id":"https://openalex.org/keywords/residency-education","display_name":"resident education","score":0.7630000114440918},{"id":"https://openalex.org/keywords/internal-medicine-residents","display_name":"internal medicine residents","score":0.9390000104904175},{"id":"https://openalex.org/keywords/gastroenterology-fellows","display_name":"gastroenterology fellows","score":0.6830000281333923},{"id":"https://openalex.org/keywords/dementia","display_name":"dementia","score":0.527999997138977},{"id":"https://openalex.org/keywords/patient-and-family-preferences","display_name":"patient and family preferences","score":0.734000027179718},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.6290000081062317},{"id":"https://openalex.org/keywords/medical-curriculum","display_name":"medical curriculum","score":0.3330000042915344},{"id":"https://openalex.org/keywords/physician-competencies","display_name":"physician competence","score":0.3409999907016754},{"id":"https://openalex.org/keywords/end-of-life-decision-making","display_name":"end-of-life decisions","score":0.5180000066757202},{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":0.574999988079071},{"id":"https://openalex.org/keywords/doctor-patient-communication","display_name":"physician-patient communication","score":0.3440000116825104}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.824486494064331},{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.6812044382095337},{"id":"https://openalex.org/C2778045676","wikidata":"https://www.wikidata.org/wiki/Q1087035","display_name":"Feeding tube","level":2,"score":0.574191689491272},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4751822054386139},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.47142547369003296},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.46555644273757935},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.43526825308799744},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.32923123240470886},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.1841064989566803},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.1148291528224945},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/00000434-201710001-01144","doi":"https://doi.org/10.14309/00000434-201710001-01144","is_oa":false,"landing_page_url":"https://doi.org/10.14309/00000434-201710001-01144","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","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":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2978923725","https://openalex.org/W4224249038","https://openalex.org/W3146233097","https://openalex.org/W2336705896","https://openalex.org/W1998791521","https://openalex.org/W2979490296","https://openalex.org/W7146142388","https://openalex.org/W2063882842","https://openalex.org/W4387734276","https://openalex.org/W3088474574"],"abstract_inverted_index":{"Introduction:":[0],"Patients":[1],"and":[2,21,32,61,64,74,116,142,145,157,184,203,252,328,358,373,379,395,455,476,488,502],"families":[3,329],"are":[4,25,38,316,340,384,390,397],"often":[5,39,317],"asked":[6],"to":[7,41,52,150,153,168,196,275,321,343,370,464],"make":[8],"decisions":[9],"regarding":[10,232,255,424],"feeding":[11,72,117,180,233,256,290,323,350,425,491,497],"tube":[12,118,181,234,257,291,324,426,492],"placement":[13,111,235,258,325,427,493],"during":[14],"a":[15,29,46,57,78,91,125,173,212,282,404,439,479],"medical":[16,122],"crisis.":[17],"The":[18,387],"risks,":[19],"benefits,":[20],"alternative":[22],"treatment":[23],"choices":[24],"not":[26,271,341],"communicated":[27],"by":[28,67,467],"standard":[30],"method,":[31],"the":[33,36,43,132,151,161,176,179,186,190,201,217,237,266,276,286,294,303,310,318,331,375,393,400,409,429,452,458,486],"consultants":[34],"placing":[35],"tubes":[37,73,351],"invited":[40],"join":[42],"discussion":[44],"at":[45],"late":[47],"stage.":[48],"Our":[49],"aim":[50],"is":[51,438,462],"improve":[53],"this":[54,130,345,356],"process":[55],"with":[56,77,124,140,160,312,326,436,474,478,500],"focus":[58,126,480],"on":[59,127,392,399,481],"patient":[60,65,253],"family":[62],"preferences":[63],"safety,":[66],"educating":[68],"medicine":[69,363,367],"residents":[70,98,152,304,368],"about":[71,104,349],"providing":[75],"them":[76],"shared":[79,441],"decision":[80,442],"making":[81,443],"tool":[82],"utilizing":[83],"an":[84],"electronic":[85],"book":[86],"(iBook).":[87],"Methods:":[88],"We":[89,188],"created":[90],"one":[92],"hour":[93],"noon":[94],"conference":[95],"program":[96],"for":[97,136,242,432,449],"in":[99,120,138,175,200,216,228,250,285,330,355,408,420,457,498],"which":[100,296],"we":[101],"reviewed":[102],"information":[103],"enteral":[105],"feeding,":[106],"including":[107],"types":[108],"of":[109,178,219,263,288,302,411,490],"tubes,":[110],"methods,":[112],"indications,":[113],"contraindications,":[114],"complications,":[115],"use":[119,137],"selected":[121],"conditions,":[123],"dementia.":[128],"During":[129],"session":[131],"iBook":[133,311],"was":[134,172,211,247,281,297,403],"introduced":[135],"discussions":[139],"patients":[141,327,475,499],"families.":[143],"Pre-":[144,378],"postintervention":[146],"surveys":[147,371],"were":[148,165,225,270,417],"given":[149],"determine":[154,169],"their":[155],"knowledge":[156,254],"comfort":[158],"level":[159],"content.":[162],"Gastroenterology":[163],"fellows":[164],"also":[166,298],"surveyed":[167],"if":[170],"there":[171,210,246],"difference":[174],"nature":[177],"consults":[182,264],"before":[183,372],"after":[185,236,265,293,374,428],"intervention.":[187],"used":[189,309,466],"chi-squared":[191],"or":[192],"Fisher's":[193],"exact":[194],"test":[195],"compare":[197],"dichotomous":[198],"outcomes":[199],"pre-":[202],"post-":[204,380],"intervention":[205,238,381,430],"groups.":[206],"Results:":[207],"Among":[208,244],"residents,":[209],"statistically":[213,272,299,405],"significant":[214,273,406],"increase":[215,407],"proportion":[218,410],"individuals":[220,412],"who":[221,413],"answered":[222,414],"that":[223,306,338,415,445],"they":[224,307,339,416],"very":[226,418],"comfortable/competent":[227,419],"all":[229,421],"six":[230,422],"questions":[231,389,423],"(p":[239],"<":[240],"0.01":[241],"all).":[243],"fellows,":[245],"perceived":[248,283],"improvement":[249],"resident":[251,353],"as":[259,261],"well":[260],"appropriateness":[262],"intervention,":[267,295],"however":[268,335],"these":[269],"due":[274],"small":[277],"sample":[278],"size.":[279],"There":[280,402],"decrease":[284],"frequency":[287],"appropriate":[289],"placements":[292],"non-significant.":[300],"None":[301],"reported":[305],"had":[308],"patients.":[313,483],"Conclusion:":[314],"Residents":[315],"first":[319],"physicians":[320],"discuss":[322],"acute":[332],"inpatient":[333],"setting,":[334],"many":[336],"report":[337],"equipped":[342],"lead":[344],"discussion.":[346],"Formal":[347],"education":[348],"improves":[352],"comfort/competence":[354],"area":[357],"should":[359],"be":[360,447,465],"incorporated":[361],"into":[362],"housestaff":[364],"curricula.Figure:":[365],"Internal":[366],"responded":[369],"educational":[376],"initiative.":[377],"survey":[382,388],"responses":[383,396],"shown":[385,391,398],"here,":[386],"x-axis,":[394],"y-axis.":[401],"(p<0.01":[431],"all).Figure:":[433],"\u201cUnderstanding":[434],"Trouble":[435],"Eating\u201d":[437],"digital":[440],"aid":[444],"can":[446],"downloaded":[448],"free":[450],"from":[451],"iTunes":[453],"store":[454],"opened":[456],"iBooks":[459],"app.":[460],"It":[461,484],"designed":[463],"health":[468],"care":[469],"providers":[470],"when":[471],"discussing":[472],"dysphagia":[473],"families,":[477],"dementia":[482,501],"reviews":[485],"risks":[487],"benefits":[489],"versus":[494],"careful":[495],"hand":[496],"dysphagia.":[503]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2019-02-21T00:00:00"}