Journal of General Internal Medicine

Article	Citations
Biliary Ascites	1017
COVID-19 Vaccination and Mental Health Distress	159
From the Editor’s Desk: Shared Decision-Making Cases in Clinical Practice—a New JGIM Series	149
Health Equity Insights from Machine Learning Models	142
Reply to the Letter to Editor by Lacout and colleagues: Chloroquine and Hydroxychloroquine for the Treatment of COVID-19: a Systematic Review and Meta-analysis	115
An Exploratory Investigation of Heritage and Educational Language Exposures as Factors in Medical Student Spanish Language Proficiency	107
Prescription Patterns for GLP-1 Receptor Agonists and SGLT2 Inhibitors by Physicians’ Years in Practice	97
Why Do Residents Discontinue Metformin on Admission? Exploring a Contestable Standard of Care	96
Identifying Core Functions and Forms of “Discharge by Noon” Interventions	89
A Proposed Framework to Aid Primary Care Clinicians in Promoting Cardiovascular Health	86
Screening and Referral for Social Needs Among Veterans: A Randomized Controlled Trial	86
Impact of Patient-Physician Language Concordance on Healthcare Utilization	85
Challenges and Policy Considerations of the Medicaid Unwinding for People with Disabilities	78
Comparing Quality, Costs, and Outcomes of VA and Community Primary Care for Patients with Diabetes	76
Impact of Referring High-Risk Patients to Intensive Outpatient Primary Care Services: A Propensity Score–Matched Analysis	75
What the Patient Considered Essential	75
A Novel Automated Algorithm to Identify Lung Cancer Screening from Free Text of Radiology Orders	67
Housing Status and Cancer Screening in US Veterans	66
Eight Ways General Internists Can Practice High-Value, Low-Carbon Care: The Canadian Society of Internal Medicine’s Climate Conscious Choosing Wisely Canada Recommendations	66
Are Newer Potassium Binding Agents Truly Better? Rethinking Sodium Polystyrene Sulfate and Emerging Therapies for Hyperkalemia	63
Relationship Between White Blood Cell Count and Bacteremia Using Interval Likelihood Ratios in Hospitalized Patients	60
Physicians’ Conscience-Based Barriers to MAiD	57
Lead aVR, Forget Me Not	57
Trends in Medicare Advantage Plans’ Adoption of Nonmedical Transportation Benefits	56
The Experience of Undocumented Individuals Denied Stem Cell Transplant for Hematologic Malignancies	53

The Society of General Internal Medicine’s Recommendations to Improve LGBTQ + Health	51
New Frontiers in Diabetes Care	51
Relief in Sight? Chatbots, In-baskets, and the Overwhelmed Primary Care Clinician	50
EBM BLS: Ticagrelor without aspirin one month after percutaneous coronary intervention reduces bleeding without worse cardiovascular outcomes	50
Healthcare Worker Mental Health After the Initial Peak of the COVID-19 Pandemic: a US Medical Center Cross-Sectional Survey	50
The Impact of the COVID-19 Pandemic on Mental Health, Occupational Functioning, and Professional Retention Among Health Care Workers and First Responders	48
Improving Veteran Engagement with Virtual Care Technologies: a Veterans Health Administration State of the Art Conference Research Agenda	47
Achieving Large-Scale Quality Improvement in Primary Care Annual Wellness Visits and Hierarchical Condition Coding	47
Travel Burden as a Measure of Healthcare Access and the Impact of Telehealth within the Veterans Health Administration	46
Estimating the Primary Care Workforce for Medicare Beneficiaries Using an Activity-Based Approach	45
Experiences of Patients and Their Caregivers Admitted to a Hospital-at-Home Program in Singapore: a Descriptive Qualitative Study	45
Long-term Psychoactive Medications, Polypharmacy, and Risk of Suicide and Unintended Overdose Death Among Midlife and Older Women Veterans	44
Building an Inclusive Future: Equity in Health and Health Services Research Workforce	44
Investments in Hospitalist Research Could Deliver Financial Returns to Academic Medical Centers	42
Perspectives on Medical Education Scholarship in 2025	42
Diagnosis Documentation Done Right: Cross-Specialty Standard for the Diagnosis Section in German Discharge Summaries — A Mixed-Methods Study	42
Why Clinicians Do Not Counsel Patients for More Road Traffic Safety	42
What Did the COVID Stress Test Reveal About How We Should Deliver Care in the USA?	40
Prevalence of Potentially Inappropriate Medication Prescribing in US Nursing Homes, 2013–2017	39
Association of Early Opioid Withdrawal Treatment Strategy and Patient-Directed Discharge Among Hospitalized Patients with Opioid Use Disorder	39
Comparison of the Impact of COVID-19 on Veterans Affairs and Non-federal Hospitals: a Survey of Infection Prevention Specialists	39
Post-hospitalization Care Transition Strategies for Patients with Substance Use Disorders: A Narrative Review and Taxonomy	39
Factors Associated with Use of Inpatient Telehealth for Hospitalized COVID-19 Patients: an Observational Study of 4 Hospitals in a Single Health System	39
Incidence and Prevalence of Post-COVID-19 Myalgic Encephalomyelitis: A Report from the Observational RECOVER-Adult Study	38
Non-Inferiority Trials: A Systematic Review on Methodological Quality and Reporting Standards	38
HIV Prevalence and HIV Screening History Among a Veterans Association Cohort of People with Opioid and Alcohol Use Disorders	38
Relationships Matter: Exploring the Impact of Patients’ Familial, Community, and Provider Relationships on Hypertension Management	38
The Case for Mobile “Street Medicine” for Patients Experiencing Homelessness	38
On Gender Bias and the Imposter Syndrome	37
Creating Value Through “Accompaniment” in Primary Care: a Call for Advocacy	37
Faculty Development for Community Preceptors: a Narrative Review of the Literature	37
Empowering People with Substance Use Disorders to Self-Administer Intravenous Antibiotics at Home	36
Addressing Clinician-Perpetuated Interpersonal Racism Against Black Patients with Serious Illness in Clinical Settings	36
Reply to: The Impact of COVID-19 Pandemic on Scientific Research: an Upcoming New Wave?	36
When Functional Impairment Develops Early: Perspectives from Middle-Aged Adults	35
Saving Primary Care: Developing a Practice Registry to Monitor the Health of a Threatened Profession	35
Recommendations to Improve Health Outcomes Through Recognizing and Supporting Caregivers	35
A Chronic Condition Disguised as an Acute Event: the Case for Re-thinking Stimulant Overdose Death	34
Association Between Coronary Artery Disease Testing in Patients with New-Onset Heart Failure and Heart Failure Readmission and Mortality	34
Stereotype Threat and Gender Bias in Internal Medicine Residency: It is Still Hard to be in Charge	34
Extending Arts-Based Interventions in Graduate Medical Education through the Positive Humanities: the Re-FRAME Workshop	33
Health-Related Social Needs: Which Patients Respond to Screening and Who Receives Resources?	33
How to Keep Training—After Residency Training	33
Mortality Among People Experiencing Homelessness in San Francisco 2016–2018	32
Association of Medicare Program Type with Healthcare Utilization Among People Experiencing Homelessness	32
Post-vaccination Subacromial Bursitis	32
Training Primary Care Physicians in For-Profit, Value-Based Care Clinics	31
Association of Medicare Advantage vs Traditional Medicare with Clinical Outcomes Among Patients Hospitalized for Substance Use Disorders	31
Staffing Up: The Nursing Home Minimum Staffing Rule	31
Little Things Sit Big	30

Intensity and Variation of Health Navigator Support: Addressing Medical and Social Needs of Diabetes Patients in East Oakland	30
Saving Shared Decision-Making	30
Five Strategies for a Safer EHR Modernization Journey	29
Home Health Aides in the Era of COVID-19 and Beyond	29
Direct-to-Consumer Pharmacies: Disruptive Innovation or More Complexity?	29
Exploring the Impact of COVID-19 on Women Hospitalists: A Mixed-Gender Qualitative Analysis	29
Federally Illicit Lifetime Drug Use in the Health Professions	28
Added Value of Shaking Chills for Predicting Bacteremia in Patients with Suspected Infection	28
Physical and Mental Health Services in Opioid Treatment Programs	28
A Nationwide Comparison of the Provision of Ambulatory Care Services to Those Living With and Without Cancer, 2016–2018	28
Pulmonary and Cardiac Smoking-Related History Improves Abstinence Rates in an Urban, Socioeconomically Disadvantaged Patient Population	28
Proton Pump Inhibitor Use and Worsening Kidney Function: A Retrospective Cohort Study Including 122,606 Acid-Suppressing Users	27
Measures of Impact for Journals, Articles, and Authors	27
Racism Conscious Approaches to Quality Improvement and Implementation Science Cardiovascular Research: Where Do We Go from Here?	27
Incorporating Prognosis into Clinical Decision-Making for Older Adults with Diabetes	27
Health Care Use Among Patients Retroactively Insured via a Hospital-Based Insurance Linkage Program	27
The Association of Microaggressions with Depressive Symptoms and Institutional Satisfaction Among a National Cohort of Medical Students	27
FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality	27
Effectiveness of Medical Student Counseling for Hospitalized Patients Addicted to Tobacco	27
The Impact of Internal Medicine Clerkship Characteristics and NBME Subject Exams on USMLE Step 2 Clinical Knowledge Exam Performance	27
Antibiotics Not Associated with Shorter Duration or Reduced Severity of Acute Lower Respiratory Tract Infection	26
Patient-Physician Sex Discordance and “Before Medically Advised” Discharge from Hospital: A Population-Based Retrospective Cohort Study	26
The MATE Act: Progress for substance use education, but is checking a box enough?	26
Contraception and Healthcare Utilization by Reproductive-Age Women Who Use Drugs in Rural Communities: a Cross-Sectional Survey	25
Health-Related Quality of Life for Patients with Post-Acute COVID-19 Syndrome: Identification of Symptom Clusters and Predictors of Long-Term Outcomes	25
Telehealth Access and Substitution in the VHA	25
Pyrite Standards: Medical Uncertainty, Ground Truth, and AI Model Evaluation in Historical Perspective	24
Response to Letters to the Editor RE: Association of Vitamin D Status and COVID-19-Related Hospitalization and Mortality	24
Diagnostic Momentum in Acute Liver Injury: an Exercise in Clinical Reasoning	24
Anti-TIF1-γ Antibody-Positive Dermatomyositis Leading to Identification of Diffuse Large B-Cell Lymphoma	24
EBM BLS: Kiwifruit may Improve Constipation in Patients with Functional Gastrointestinal Disorders	24
Gender Inequalities in Citations of Articles Published in High-Impact General Medical Journals: a Cross-Sectional Study	24
The Use of Beer’s Restricted Medications Among US Older Patients	24
Disability Education	23
Supporting Care Transformation Through a Comprehensive Graduate Medical Education Curricular Program in a Department of Internal Medicine	23
Prevention of Hepatitis B Reactivation in Patients Receiving Immunosuppressive Therapy: a Case Series and Appraisal of Society Guidelines	23
The Utilization and Costs of Grade D USPSTF Services in Medicare, 2007–2016	23
User-Centered Design of a Clinical Tool for Shared Decision-making About Diet in Primary Care	23
Exploring the Telephone Call Experience of Patients with Non-English Language Preference in Primary Care vs. Specialty	23
Seeking Silence in Suffering	23
Incidence of and Ivermectin Prescription Trends for COVID-19 in Japan	22
An End-User’s Personal Perspective on the Need of Consumer Involvement in Research	22
Patient and Provider Perspectives on Benefits and Harms of Continuing, Tapering, and Discontinuing Long-Term Opioid Therapy	22
Physicians Should Stop Breaking Bad News	22
Assessing Student Readiness to Work with People Who Use Drugs: Development of a Multi-disciplinary Addiction Educational Survey	22
Perceived Contraceptive Counseling Quality Among Veterans Using VA Primary Care: Data from the ECUUN Study	21
Identifying Patterns of Primary Care In-Person and Telemedicine Use in the Veterans Health Administration: A Latent Class Analysis	21
Willingness to Stop Screening Mammograms Among Older Women in the United States: Results From a National Survey	21
Missing Care: the Initial Impact of the COVID-19 Pandemic on CKD Care Delivery	21
Scalloped Tongue in Primary Amyloidosis	21
Gender and Racial Representation Trends Among Internal Medicine Department Chairs from 2010–2020	21
“Life with Diabetes”: A Pilot Study on an Experiential Continuous Glucose Monitoring Curriculum for Resident Physicians	21
Care for Incarcerated Patients Hospitalized with COVID-19	21
Of Epiphytes and Epilepsy	21
Embracing the Uncertainty: an Important Lesson from COVID-19	21
Gender Differences in Patients’ Experience of Care in the Emergency Department	21
Race Dialogues and Potential Application in Clinical Environments: A Scoping Review	20
Long-Term Effects of the Comprehensive Primary Care Model on Health Care Spending and Utilization	20
Association Between Health System Factors and Utilization of Routine Laboratory Tests in Clinical Teaching Units: a Cohort Analysis	20
Patient-Centered Outcomes in Clinical Trials of Wearable Devices for Atrial Fibrillation	20
Appointment Non-attendance for Telehealth Versus In-Person Primary Care Visits at a Large Public Healthcare System	20
Arthritis-Dermatitis Syndrome: a Case of Disseminated Gonococcal Infection with Petechial Skin Rash	20
Reminiscences of (Professional) Childhood	20
Comparing Male and Female Resident Physicians in Central Venous Catheter Insertion Self-confidence and Competency: A Retrospective Cohort Study	19
Shadow Coaching Improves Patient Experience for English-Preferring Patients but not for Spanish-Preferring Patients	19
COVID-19 Vaccinations Among US Veterans with Mental Illness: a Retrospective Cohort Study	19
How Providers Can Optimize Effective and Safe Scribe Use: a Qualitative Study	19
Six-Month Outcomes in Patients Hospitalized with Severe COVID-19	19
Moral Outrage Toward Willfully Unvaccinated COVID-19 Patients	19
Prevalence and Predictors of Driving Under the Influence of Alcohol Among Older Adults in the United States, 2015–2019	19
Will the American Rescue Plan Overcome Opposition to Medicaid Expansion?	19
Recognition of and Compassion for Reproductive Failure: Let the Healing Begin	18
Early Racial and Ethnic Disparities in the Prescription of Nirmatrelvir for COVID-19	18
Prevalence and Management of Medication Interactions with Nirmatrelvir-Ritonavir at a Large Urban Academic Medical Center: An Observational Study	18
A Case of Amyloid Myopathy Mimicking Anti-Mi-2 Antibody-Positive Myositis	18
Euglycemic Ketoacidosis Associated with SGLT-2 Inhibitors in Non-diabetic Patients—A Narrative Review	18
Promoting Women in Academic Medicine during COVID-19 and Beyond	18
Therapeutic Value of Orphan Drugs Approved by Health Canada: A Cross-Sectional Study	18
Effect of Ward-Based High-Flow Nasal Cannula (HFNC) Oxygen Therapy on Critical Care Utilization During the COVID-19 Pandemic: A Retrospective Cohort Analysis	18
Bundled Payment Episodes Initiated by Physician Group Practices: Medicare Beneficiary Perceptions of Care Quality	18

Lay Beliefs About Doctors’ Knowledge of and Reasons for Recommending COVID-19 Vaccines	18
Effects of Non-Face-to-Face Chronic Care Management on Service Utilization and Outcomes Among US Medicare Beneficiaries with Diabetes	18
Acrocyanosis Secondary to Esophageal Cancer	18
Embedding Authorship Identity into a Portal-Based Agenda Setting Intervention to Support Older Adults and Care Partners	18
Comparative Effectiveness of Digital Breast Tomosynthesis and Mammography in Older Women	17
Ethical Guidance on Family Caregiving, Support, and Visitation in Hospitals and Residential Health Care Facilities, Including During Public Health Emergencies: an American College of Physicians Positi	17
Telemedicine use in Primary Care Associated with More Timely Access Without Unintended Subsequent Utilization for People with Dementia	17
The Value of the Chief Resident in Successful Resident-Led Quality Improvement and Patient Safety Scholarly Initiatives	17
What Should a Doctor Look Like?	17
The Organization of Academic General Internal Medicine Practice at the Top Primary Care Schools	17
Cost-Related Access Barriers, Medical Debt, and Dissatisfaction with Care Among Privately Insured Americans	17
Penile Intraepithelial Neoplasia: a Disease That Should Be Recognized	17
Buprenorphine and the Boards: Missed Opportunities	17
Public Board Score Reporting Undermines Holistic Review for Residency Selection	17
Challenges and Opportunities in Engaging Primary Care Providers in BRCA Testing: Results from the BFOR Study	17
Legal Foundation for Crisis Clinical DNR Orders	16
Evidence-Based Care for People with Chronic Fatigue Syndrome and Myalgic Encephalomyelitis	16
René Magritte’s The Healer, bronze, 1967	16
Enhancing Medication Adherence Through Interprofessional Collaboration: Insights from the UK Experience	16
The Use of Ivermectin in the Treatment of COVID-19	16
Outpatient-Based Opioid Treatment Engagement and Attendance: A Prospective Cohort Study of Homeless-Experienced Adults	16
Taxpayers’ Share of US Prescription Drug and Insulin Costs: a Cross-Sectional Study	16
Can Right-Sizing the Use of Virtual Care Improve Access to Equitable, Patient-Centered Care for Women Veterans?	16
Community Health Collaborative Facilitates Health System and Community Change to Address Unmet Medical and Social Needs in New Jersey	16
Association Between Patient Diversity in Hospitals and Racial/Ethnic Differences in Patient Length of Stay	16
Predicted Health Literacy Disparities Between Immigrant and US-Born Racial/Ethnic Minorities: a Nationwide Study	16
Medication Affordability and Self-Advocacy Among Racial/Ethnic Minorities in a Nationwide Cohort	16
Response to Ojha and Lu	16
Blood Pressure Visit Intensification in Treatment (BP-Visit) Findings: a Pragmatic Stepped Wedge Cluster Randomized Trial	16
“Enemies” in Our Times: Chekhov’s Lessons for Medicine and Society	16
“I was not able to keep myself away from tending to her immediate needs”: Primary Care Physicians’ Perspectives of Serious Illness Conversations at Community Health Centers	16
Prevalence of Cannabis Use Disorder Among Primary Care Patients with Varying Frequency of Past-Year Cannabis Use	16
The Reverse Halo Sign in an Immunocompromised Host	16
Using a Video Game Intervention to Increase Hospitalists’ Advance Care Planning Conversations with Older Adults: a Stepped Wedge Randomized Clinical Trial	15
Effects of State Preemption of Local Smoke-Free Restrictions on US Adult Cigarette Smoking Prevalence, 1997 to 2017	15
The Time for Opioid Tapering Blister Packs Has Arrived: an Argument for Prescription Tapering Tools to Combat the Opioid Epidemic	15
Association of Observation Stays with Clinical Outcomes and Costs in Medicare: An Instrumental Variable Analysis	15
From the Other Side—The Family Disease	15
The Association Between High Ambient Temperature and the Risk of Emergency Department Visits in the USA	15
Elephant in the Room: an Exercise in Clinical Reasoning	15
A Retrospective Analysis of Medical Student Performance Evaluations, 2014–2020: Recommend with Reservations	15
Downstream Emergency Department and Hospital Utilization Comparably Low Following In-Person Versus Telemedicine Primary Care for High-Risk Conditions	15
Impact of Home Telehealth Expansion on High-Cost Utilization Among Veterans Health Administration Patients with Diabetes	15
Letter to the Editor in Response to: Socioeconomic Status and COVID-19 Outcomes	15
Bundling Colorectal Cancer Screening Outreach with Screening for Social Risk in Federally Qualified Health Centers: A Stepped-Wedge Implementation-Effectiveness Study	15
Skin Changes of POEMS	15
Reasoning on Rounds: a Framework for Teaching Diagnostic Reasoning in the Inpatient Setting	14
Tobacco Cessation Prescription Utilization Rates Among Veterans with Cancer Who Smoke	14
Exploring the Association of Metabolic Syndrome with In-Hospital Survival of Older Patients Hospitalized with COVID-19: Beyond Chronological Age	14
Healthcare Utilization and Chronic Disease Management for Non-Medicaid-Eligible Patients in a City-Wide Safety-Net Healthcare Access Program	14
Letter to the Editor re: SGIM Telehealth Position Statement	14
Enhancing Primary Care and Mental Health Integration for Women Veterans with Complex Healthcare Needs Using Evidence-Based Quality Improvement	14
Second-Hand Code	14
Screening and Telephone-Based Intervention for Unhealthy Alcohol Use in a Diverse Federally Qualified Health Center System in Texas	14
Types of Engagement Strategies to Engage High-Risk Patients in VA	14
Breaking the News	14
Survey of Physician Practices, Attitudes, and Knowledge Regarding Recombinant Zoster Vaccine	14
Associations Between Person-Centered Primary Care Measure Score, Potential Case-Mix Adjustment Variables, and Other Patient Experience Survey Items	14
Older Adults’ Experiences of Emergency Department Admission Decisions: A Qualitative Study in a Public Safety Net Hospital	13
Impact of a Remote Primary Care Telehealth Staffing Model on Primary Care Access in the Veterans Health Administration	13
We Need to Rethink Nursing Homes	13
Experiences and Perceptions of Racism and Sexism Among Alberta Physicians: Quantitative Results and Framework Analysis of a Cross-Sectional Survey	13
Estimating Community Disruption from Nighttime Gunshots in 6 U.S. Cities, 2015 to 2021	13
Promising Strategies to Support COVID-19 Vaccination of Healthcare Personnel: Qualitative Insights from the VHA National Implementation	13
Prescription Opioid Dose Reductions and Potential Adverse Events: a Multi-site Observational Cohort Study in Diverse US Health Systems	13
Preferred Communication Strategies for People with Communication Disabilities in Health Care Encounters: a Qualitative Study	13
An Opportunity for Change: Principles for Reforming Internal Medicine Inpatient Conferences	13
Physician Note Composition Patterns and Time on the EHR Across Specialty Types: a National, Cross-sectional Study	13
Anxiety and Depression Risk Among Healthcare Workers During the COVID-19 Pandemic: Findings from the US Census Household Pulse Survey	13
Lean Implementation for Graduating Optimally Controlled Stable Type 2 Diabetics from Endocrine Specialty Clinic Back to Primary Care	13
Healthcare Utilization Among Patients Diagnosed with COVID-19 in a Large Integrated Health System	13
Glucose-Lowering Agents and the Risk of Hypoglycemia: a Real-world Study	13
A Virtual-First Telehealth Treatment Model for Opioid Use Disorder	13
End of Affirmative Action—Who Is Impacted Most? Analysis of Race and Sex Among US Internal Medicine Faculty	13
Leisure-Time Physical Activity, Time Spent Sitting and Risk of Non-alcoholic Fatty Liver Disease: A Cross-Sectional Study in Puglia	13
EBM BLS: Colonoscopy for Cancer Screening Is Safe and Effective in Both Preventing and Diagnosing Colorectal Cancer	13
Marketing SARS-CoV-2 Vaccines: an Opportunity to Test a Nobel Prize–Winning Theory	13
Clinician Views of Proactive Tobacco Treatment Programs: A Qualitative Evaluation	13
Comparative Effectiveness of Decision Aids for Cancer-Screening Decision Making: An Overview of Reviews	13
A Culturally Adapted, Telehealth, Community Health Worker Intervention on Blood Pressure Control among South Asian Immigrants with Type II Diabetes: Results from the DREAM Atlanta Intervention	13
Shared Viewpoint—Developing the Future of Kidney Care	13
A Cohort Analysis of Statin Treatment Patterns Among Small-Sized Primary Care Practices	13
Learning to See	13
Reducing Sedative-Hypnotics Among Hospitalized Patients: a Multi-centered Study	13
Association of Post-discharge Service Types and Timing with 30-Day Readmissions, Length of Stay, and Costs	12
In Response: Physician Tolerance of Uncertainty	12
Copyrights and Evolving Surveys of Well-being	12
Trends in Use of Sulfonylurea Types Among US Adults with Diabetes: NHANES 1999–2020	12
Effects of Citizenship Status on International Medical Graduate Specialty Choice and Practice Location	12
BMI Trends for Veterans Up to 10 Years After VA Enrollment Following Military Discharge	12
Integration of Health Coaches in a Whole Health Team Model of Chronic Pain Care: a Qualitative Study	12
Association of Primary Care Physicians’ Electronic Inbox Activity Patterns with Patients’ Likelihood to Recommend the Physician	12
Effects of a Gender-Balancing Strategy on Resident Panels in a Primary Care Setting	12
Dysarthria and Weakness in a Patient with Cirrhosis	12
Team-Based Learning as a Feasible, Acceptable, and Effective Educational Method for Internal Medicine Trainees – A Multi-phase Intervention and Cohort Comparison	12