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Daniella Ann Zipkin

Professor of Medicine
Medicine, General Internal Medicine
Box 2992 Med Ctr, Durham, NC 27710
4220 N. Roxboro Rd., Box 2992, Durham, NC 27704

Selected Publications


Searching the medical literature

Chapter · December 24, 2022 This is an ideal guide for residency program directors and core faculty, either within internal medicine or more broadly in family medicine, pediatrics, surgery, OB-gyn, as well as medical school faculty for use with students. ... Cite

Systematic reviews and meta-analysis

Chapter · December 24, 2022 This is an ideal guide for residency program directors and core faculty, either within internal medicine or more broadly in family medicine, pediatrics, surgery, OB-gyn, as well as medical school faculty for use with students. ... Cite

Diagnostic Testing: Assessing the Value of Studies of Diagnostic Tests

Chapter · January 1, 2022 Diagnostic testing is a core domain in any evidence-based medicine curriculum and is also a place where the concepts typically tested in early health professions education tend to differ from the concepts needed to apply data clinically. We believe it is c ... Full text Cite

Therapy: Assessing the Value of Clinical Interventions

Chapter · January 1, 2022 Teaching about therapy is the cornerstone of most curricula in evidence-based medicine. In order to address this core topic, we walk through background information and teaching techniques addressing (1) framing a therapy question, (2) assessing the risk of ... Full text Cite

Harm and Causation: Assessing the Value of Studies of Harm

Chapter · January 1, 2022 Harm and causation is a critical topic in evidence-based medicine. Harm questions come up frequently in clinical care as much harm data is shared in the lay press. “Does this food/chemical/environmental exposure cause that disease?” is a very common concer ... Full text Cite

Teaching Evidence-Based Medicine: A Toolkit for Educators

Book · January 1, 2022 Practicing evidence-based medicine is widely regarded both as best clinical practice, and as the cornerstone of meeting the ACGME competencies in Practice-Based Learning and Improvement. Training programs recognize the need to teach the skills of EBM and y ... Full text Cite

Screening

Chapter · January 1, 2022 Screening is a form of an intervention. Studies of screening are not testing the characteristics of a diagnostic test, they are applying the test as an intervention to an asymptomatic population with intent to improve outcomes. The topic of screening deser ... Full text Cite

How To Use This Book

Chapter · January 1, 2022 In this chapter we outline the history of evidence-based medicine in brief and guide the reader through key steps in building an EBM curriculum. We take into account the structure, platform, content, and process involved in a curriculum in EBM. By the end ... Full text Cite

Clinical Question and Study Design

Chapter · January 1, 2022 In this chapter, we make the case for starting a curriculum in EBM with the process of asking a question, deciding what study design you are looking for, and understanding where any study sits within the overall hierarchy of evidence. We then dive into tea ... Full text Cite

Prognosis

Chapter · January 1, 2022 Prognosis refers to prediction of outcomes based on the information we have available connected to a clinical syndrome. This topic is a good opportunity to expand and enrich a discussion of the value of cohort studies, as they are central to examining prog ... Full text Cite

Shared Decision Making

Chapter · January 1, 2022 Shared decision making is a bridge from evidence to action. Acquiring and appraising the evidence impacting a patient is only the beginning of the process. It is critically important that clinicians present information in a way that patients understand and ... Full text Cite

Non-inferiority Study Designs

Chapter · January 1, 2022 As the medical literature moves forward and standards of care in the treatment of many conditions are established, newer therapies which offer additional appealing features, such as ease of administration or fewer side effects, will often be studied with n ... Full text Cite

Clinician-Educator Training and Its Impact on Career Success: a Mixed Methods Study.

Journal Article J Gen Intern Med · December 2020 BACKGROUND: Clinician-educator (CE) careers in academic medicine are heterogeneous. Expectations for CEs have grown, along with a need to better prepare CEs for these roles. OBJECTIVE: To assess whether advanced education training is associated with produc ... Full text Link to item Cite

Multiyear Outcomes of a Population-Oriented Care Redesign in an Internal Medicine Residency Continuity Clinic.

Journal Article J Health Care Poor Underserved · 2020 The cornerstone of ambulatory care training for internal medicine residents is the continuity clinic, which often serves medically and psychosocially complex patients. We conducted and evaluated a population-oriented redesign to improve care for "high-need ... Full text Link to item Cite

Evidence-based risk communication: a systematic review.

Journal Article Ann Intern Med · August 19, 2014 BACKGROUND: Effective communication of risks and benefits to patients is critical for shared decision making. PURPOSE: To review the comparative effectiveness of methods of communicating probabilistic information to patients that maximize their cognitive a ... Full text Link to item Cite

Cytisine increased smoking cessation in adults.

Journal Article Ann Intern Med · January 17, 2012 Full text Link to item Cite

Evidence-based medicine and primary care: keeping up is hard to do.

Journal Article Mt Sinai J Med · 2012 Primary-care physicians feel pressure to be knowledgeable, efficient, comprehensive, and compassionate while delivering evidence-based medical care. Incorporating evidence-based medicine into practice requires training in the skills of finding and applying ... Full text Link to item Cite

In reply [5]

Journal Article Journal of General Internal Medicine · January 1, 2006 Full text Cite

Interactions between pharmaceutical representatives and doctors in training. A thematic review.

Journal Article J Gen Intern Med · August 2005 OBJECTIVE: Medical school and residency are formative years in establishing patterns of prescribing. We aimed to review the literature regarding the extent of pharmaceutical industry contact with trainees, attitudes about these interactions, and effects on ... Full text Link to item Cite

Searching the medical literature

Chapter · December 24, 2022 This is an ideal guide for residency program directors and core faculty, either within internal medicine or more broadly in family medicine, pediatrics, surgery, OB-gyn, as well as medical school faculty for use with students. ... Cite

Systematic reviews and meta-analysis

Chapter · December 24, 2022 This is an ideal guide for residency program directors and core faculty, either within internal medicine or more broadly in family medicine, pediatrics, surgery, OB-gyn, as well as medical school faculty for use with students. ... Cite

Diagnostic Testing: Assessing the Value of Studies of Diagnostic Tests

Chapter · January 1, 2022 Diagnostic testing is a core domain in any evidence-based medicine curriculum and is also a place where the concepts typically tested in early health professions education tend to differ from the concepts needed to apply data clinically. We believe it is c ... Full text Cite

Therapy: Assessing the Value of Clinical Interventions

Chapter · January 1, 2022 Teaching about therapy is the cornerstone of most curricula in evidence-based medicine. In order to address this core topic, we walk through background information and teaching techniques addressing (1) framing a therapy question, (2) assessing the risk of ... Full text Cite

Harm and Causation: Assessing the Value of Studies of Harm

Chapter · January 1, 2022 Harm and causation is a critical topic in evidence-based medicine. Harm questions come up frequently in clinical care as much harm data is shared in the lay press. “Does this food/chemical/environmental exposure cause that disease?” is a very common concer ... Full text Cite

Teaching Evidence-Based Medicine: A Toolkit for Educators

Book · January 1, 2022 Practicing evidence-based medicine is widely regarded both as best clinical practice, and as the cornerstone of meeting the ACGME competencies in Practice-Based Learning and Improvement. Training programs recognize the need to teach the skills of EBM and y ... Full text Cite

Screening

Chapter · January 1, 2022 Screening is a form of an intervention. Studies of screening are not testing the characteristics of a diagnostic test, they are applying the test as an intervention to an asymptomatic population with intent to improve outcomes. The topic of screening deser ... Full text Cite

How To Use This Book

Chapter · January 1, 2022 In this chapter we outline the history of evidence-based medicine in brief and guide the reader through key steps in building an EBM curriculum. We take into account the structure, platform, content, and process involved in a curriculum in EBM. By the end ... Full text Cite

Clinical Question and Study Design

Chapter · January 1, 2022 In this chapter, we make the case for starting a curriculum in EBM with the process of asking a question, deciding what study design you are looking for, and understanding where any study sits within the overall hierarchy of evidence. We then dive into tea ... Full text Cite

Prognosis

Chapter · January 1, 2022 Prognosis refers to prediction of outcomes based on the information we have available connected to a clinical syndrome. This topic is a good opportunity to expand and enrich a discussion of the value of cohort studies, as they are central to examining prog ... Full text Cite

Shared Decision Making

Chapter · January 1, 2022 Shared decision making is a bridge from evidence to action. Acquiring and appraising the evidence impacting a patient is only the beginning of the process. It is critically important that clinicians present information in a way that patients understand and ... Full text Cite

Non-inferiority Study Designs

Chapter · January 1, 2022 As the medical literature moves forward and standards of care in the treatment of many conditions are established, newer therapies which offer additional appealing features, such as ease of administration or fewer side effects, will often be studied with n ... Full text Cite

Clinician-Educator Training and Its Impact on Career Success: a Mixed Methods Study.

Journal Article J Gen Intern Med · December 2020 BACKGROUND: Clinician-educator (CE) careers in academic medicine are heterogeneous. Expectations for CEs have grown, along with a need to better prepare CEs for these roles. OBJECTIVE: To assess whether advanced education training is associated with produc ... Full text Link to item Cite

Multiyear Outcomes of a Population-Oriented Care Redesign in an Internal Medicine Residency Continuity Clinic.

Journal Article J Health Care Poor Underserved · 2020 The cornerstone of ambulatory care training for internal medicine residents is the continuity clinic, which often serves medically and psychosocially complex patients. We conducted and evaluated a population-oriented redesign to improve care for "high-need ... Full text Link to item Cite

Evidence-based risk communication: a systematic review.

Journal Article Ann Intern Med · August 19, 2014 BACKGROUND: Effective communication of risks and benefits to patients is critical for shared decision making. PURPOSE: To review the comparative effectiveness of methods of communicating probabilistic information to patients that maximize their cognitive a ... Full text Link to item Cite

Cytisine increased smoking cessation in adults.

Journal Article Ann Intern Med · January 17, 2012 Full text Link to item Cite

Evidence-based medicine and primary care: keeping up is hard to do.

Journal Article Mt Sinai J Med · 2012 Primary-care physicians feel pressure to be knowledgeable, efficient, comprehensive, and compassionate while delivering evidence-based medical care. Incorporating evidence-based medicine into practice requires training in the skills of finding and applying ... Full text Link to item Cite

In reply [5]

Journal Article Journal of General Internal Medicine · January 1, 2006 Full text Cite

Interactions between pharmaceutical representatives and doctors in training. A thematic review.

Journal Article J Gen Intern Med · August 2005 OBJECTIVE: Medical school and residency are formative years in establishing patterns of prescribing. We aimed to review the literature regarding the extent of pharmaceutical industry contact with trainees, attitudes about these interactions, and effects on ... Full text Link to item Cite

The feasibility of a telecommunications service in support of outpatient congestive heart failure care in a diverse patient population

Journal Article Congestive Heart Failure · January 1, 2000 A home telemonitoring system for patients with congestive heart failure was studied for feasibility and efficacy in a diverse patient population. Fifty patients used the service, in which they weighed themselves and answered yes/no questions about symptoms ... Full text Cite

Commentary

Journal Article Journal of Modern Greek Studies · 1990 Cite