Abstracts from the 37th Annual Meeting of the Society of General Internal Medicine

SCIENTIFIC ABSTRACTS 1 4 9 11 16 19 28 33 36 0 Montefiore Medical Center , Bronx, NY. (Tracking ID 1 A PLACE AT THE TABLE: EVALUATION OF COMMUNITY MEMBERS' EXPERIENCES AND EXPECTATIONS FOR ACADEMIC-COMMUNITY PARTNERSHIPS IN HIV/AIDS RESEARCH Stella Safo 2 Albert Einstein College of Medicine , Bronx, NY 3 Montefiore Medical Center , Bronx, NY 4 A ONE-STOP SHOP: PERCEIVED BENEFITS OF DIABETES GROUP VISITS IN THE SAFETY NET CLINIC SETTING Arshiya A. Baig 5 North Dakota State University , Fargo, ND. (Tracking ID 6 Riverside County Regional Medical Center , Moreno Valley, CA. (Tracking ID 7 Loma Linda University Medical Center , Loma Linda, CA 8 University of California , Riverside, Riverside, CA 9 CODE R: INTRODUCTION OF A HOSPITAL-WIDE PEER REVIEW PROCESS TO ASSESS RESIDENTS' POTENTIAL IMPACT ON PATIENT SAFETY AND QUALITY Daniel I. Kim 10 University of California, San Francisco , San Francisco, CA 11 HAVE YOU THOUGHT ABOUT SENDING THAT AS AN ECONSULT?: PRIMARY CARE PROVIDERS' EXPERIENCES WITH ELECTRONIC CONSULTATIONS AT AN ACADEMIC MEDICAL CENTER Sara Ackerman 12 University of California, San Francisco , San Francisco, CA. (Tracking ID 13 Perelman School of Medicine at the University of Pennsylvania , Philadelphia, PA. (Tracking ID 14 Uniformed Services University , Bethseda, MD 15 University of Chicago, Pritzker School of Medicine , Chicago, IL 16 WHAT DOES A GOOD LIFESTYLE MEAN TO YOU? A QUALITATIVE ANALYSIS OF FIRST YEAR MEDICAL STUDENTS' VIEWS Kimberly Clinite 17 New York University Medical Center , New York, NY 18 Hennepin County Medical Center , Minneapolis, MN 19 A CLUSTER RANDOMIZED CONTROLLED TRIAL OF INTERVENTIONS TO IMPROVE WORK CONDITIONS AND CLINICIAN STRESS: RESULTS FROM THE HEALTHY WORK PLACE (HWP) STUDY Mark Linzer 20 University of Missouri , Columbia, MO 21 University of Alabama , Tuscaloosa, AL 22 Loyola University Medical Center , Chicago, IL 23 Marshfield Clinic , Marshfield, WI 24 Forward Health Group, Inc, , Madison, WI. (Tracking ID 25 University of Wisconsin , Madison, WI 26 University of Miami Miller School of Medicine , Miami, FL 27 Sylvester Comprehensive Cancer Center , Miami, FL 28 ACCEPTABILITY AND FEASIBILITY OF HPV SELF-SAMPLING FOR CERVICAL CANCER SCREENING AMONG PATIENTS AND PROVIDERS IN TWO SAFETY-NET INSTITUTIONS IN MIAMI Kumar Ilangovan 29 University of Miami Miller School of Medicine , Miami, FL. (Tracking ID 30 Yale Univsersity , New Haven, CT. (Tracking ID 31 Yale School of Public Health , New Haven, CT 32 Harvard Pilgrim Health Care Institute/Department of Population Medicine at Harvard Medical School , Cambridge, MA 33 SIGUIENDO ADELANTE: A MEDICAL SPANISH CURRICULUM FOR RESIDENTS Avik Chatterjee 34 Creighton University School of Medicine , Phoenix, AZ. (Tracking ID 35 St Joseph's Hospital & Medical Center , Phoenix, AZ 36 STORY TELLING: MY MOST MEMORABLE PATIENT - LESSONS IN HUMANISM, REFLECTION, AND THE DEVELOPMENT OF EXPERTISE Priya Radhakrishnan S1 - BACKGROUND: Diabetes group visits, shared appointments in which patients with diabetes receive self-management education in a group setting and have a medical visit, are an innovative and promising way to deliver diabetes care. The group visit model may be especially promising in safety net clinics where many patients with diabetes in underserved settings receive their care. However, little is known about safety net providers perceptions of diabetes group visits in the community health center setting. METHODS: The research team conducted site visits at community health centers across the Midwest to assess their experiences in providing diabetes group visits. Site visits were conducted at centers that had implemented diabetes group visits in the past or currently had them. Two members of the research team interviewed health center personnel at each site regarding their diabetes group visit program. Health center personnel included chief executive officers, medical and nursing directors, care coordinators, physicians, nurses, physician assistants, diabetes educators, mental health professionals, dietitians, medical assistants, pharmacists, and other recommended staff members who were familiar with the diabetes group visits at the site. Interviewees were asked about the benefits of having diabetes group visits at their site. All interviews were audio-recorded and transcribed. Systematic qualitative analysis techniques were used to identify the range and consistency of opinions and experiences across interviewees. RESULTS: The research team visited five health center sites across four states in the Midwest and conducted a total of 26 interviews with health center personnel. One site was rural, three were urban, and one was suburban. Health center personnel noted many benefits of group visits to the health center, providers, and patients. The benefits of group visits to the health center included an alignment of the group visit model with the mission of becoming a patient centered medical home, the ability to bill for group visits, and an efficient way to improve guideline-driven care for patients. Provider benefits from group visits included boost to provider morale, opportunities to collaborate with multidisciplinary colleagues, and having more time to focus on other medical concerns during patients routine follow-up visits. Patients derived many benefits, including receiving education and medical care in a single appointment, e.g. the one-stop shop or best bang for your buck, the opportunity to obtain social support and enhanced motivation through peers, and the potential to improve their clinical outcomes by attending group visits. CONCLUSIONS: Diabetes group visits can offer many unique benefits to safety net clinics by providing patient-centered care, boosting provider morale, increasing multidisciplinary collaboration, and offering patients the convenience of combining an educational session with a primary care appointment. Further studies need to assess best practices in implementing group visits in health centers and assess their impact on patient outcomes. BACKGROUND: The foundation of community based participatory research (CBPR) is collaboration between academic researchers and members of a given community. Community advisory boards (CABs) are one mechanism through which academic-community partnerships are formed, but current research about CAB members opinions on barriers to collaborations with academics is limited. This qualitative study examined CAB members expectations and experiences in working with academic researchers in the field of HIV/AIDS. METHODS: We conducted 10 semi-structured one-on-one interviews with individuals serving on a CAB for HIV-related research at an urban academic medical center. Participating CAB members were leaders of HIV/AIDS community organizations in Bronx, NY and had at least 5 years of experience working in the field of HIV/AIDS. Interview questions focused on participants current and previous experiences with academic research and (...truncated)