Overview

The faculty of the division of general internal medicine, in collaboration with colleagues in geriatrics and health policy, is involved in research activities spanning the hospital, ambulatory care, and home care settings. In the inpatient setting, research is being conducted on a range of topics, including the outcomes of patients admitted to the hospital with hip fracture, the medical practices surrounding the use and discontinuation of antibiotics, and the management of anticoagulant medications. Ambulatory care studies have focused on topics ranging from the outpatient management of deep venous thrombosis to the cost of pharmaceuticals and the effects of medication cost on prescribing. The faculty has also been engaged in clinical trials in primary care problems such as obesity, influenza, and community-acquired pneumonia. Building on an innovative program that has included medical residents in physician home visits, research in home care is being done on medical residents in physician home visits, research in home care is being done on medical education and on the attitudes and skills of physicians in home visiting.

Other projects have cut across the various settings of care, and have included studies on medical education of residents in managed care and also on the expanded use of informatics in clinical medicine. This work has included a study of the effects of a web-based database of medication assistance programs for indigent patients and a study of the effect of an electronic medical record on physician work practices.