Baldeep Singh

All Publications

• Patient and primary care provider attitudes and adherence towards lung cancer screening at an academic medical center. Preventive medicine reports Duong, D. K., Shariff-Marco, S., Cheng, I., Naemi, H., Moy, L. M., Haile, R., Singh, B., Leung, A., Hsing, A., Nair, V. S. 2017; 6: 17-22

  Abstract

  Low dose CT (LDCT) for lung cancer screening is an evidence-based, guideline recommended, and Medicare approved test but uptake requires further study. We therefore conducted patient and provider surveys to elucidate factors associated with utilization. Patients referred for LDCT at an academic medical center were questioned about their attitudes, knowledge, and beliefs on lung cancer screening. Adherent patients were defined as those who met screening eligibility criteria and completed a LDCT. Referring primary care providers within this same medical system were surveyed in parallel about their practice patterns, attitudes, knowledge and beliefs about screening. Eighty patients responded (36%), 48 of whom were adherent. Among responders, non-Hispanic patients (p = 0.04) were more adherent. Adherent respondents believed that CT technology is accurate and early detection is useful, and they trusted their providers. A majority of non-adherent patients (79%) self-reported an intention to obtain a LDCT in the future. Of 36 of 87 (41%) responding providers, only 31% knew the correct lung cancer screening eligibility criteria, which led to a 37% inappropriate referral rate from 2013 to 2015. Yet, 75% had initiated lung cancer screening discussions, 64% thought screening was at least moderately effective, and 82% were interested in learning more of the 33 providers responding to these questions. Overall, patients were motivated and providers engaged to screen for lung cancer by LDCT. Non-adherent patient "procrastinators" were motivated to undergo screening in the future. Additional follow through on non-adherence may enhance screening uptake, and raising awareness for screening eligibility through provider education may reduce inappropriate referrals.

  View details for DOI 10.1016/j.pmedr.2017.01.012

  View details for PubMedID 28210538

  View details for PubMedCentralID PMC5304233

• Fulfilling outpatient medicine responsibilities during internal medicine residency: a quantitative study of housestaff participation with between visit tasks BMC MEDICAL EDUCATION Hom, J., Richman, I., Chen, J. H., Singh, B., Crump, C., Chi, J. 2016; 16

  Abstract

  Internal Medicine residents experience conflict between inpatient and outpatient medicine responsibilities. Outpatient "between visit" responsibilities such as reviewing lab and imaging data, responding to medication refill requests and replying to patient inquiries compete for time and attention with inpatient duties. By examining Electronic Health Record (EHR) audits, our study quantitatively describes this balance between competing responsibilities, focusing on housestaff participation with "between visit" outpatient responsibilities.We examined EHR log-in data from 2012-2013 for 41 residents (R1 to R3) assigned to a large academic center's continuity clinic. From the EHR log-in data, we examined housestaff compliance with "between visit" tasks, based on official clinic standards. We used generalized estimating equations to evaluate housestaff compliance with between visit tasks and amount of time spent on tasks. We examined the relationship between compliance with between visit tasks and resident year of training, rotation type (elective or required) and interest in primary care.Housestaff compliance with logging in to complete "between visit" tasks varied significantly depending on rotation, with overall compliance of 45 % during core inpatient rotations compared to 68 % during electives (p = 0.01). Compliance did not significantly vary by interest in primary care or training level. Once logged in, housestaff spent a mean 53 min per week logged in while on electives, compared to 55 min on required rotations (p = 0.90).Our study quantitatively highlights the difficulty of attending to outpatient responsibilities during busy core inpatient rotations, which comprise the bulk of residency at our institution and at others. Our results reinforce the need to continue development and study of innovative systems for coverage of "between visit" responsibilities, including shared coverage models among multiple residents and shared coverage models between residents and clinic attendings, both of which require a balance between clinic efficiency and resident ownership, autonomy and learning.

  View details for DOI 10.1186/s12909-016-0665-6

  View details for Web of Science ID 000375685100002

  View details for PubMedID 27160008

• Lateral Epicondilits. ACP SMART MEDICINE Singh, B., et al 2014
• Osteoarthritis ACP SMART MEDICINE Singh, B., et al 2013
• Quality of Care Education and Practicum in an Internal Medicine Training Program Proceedings of UCLA Healthcare Singh, B., Wenger, Neil 2009; 13: 4-8
• Mouth and Genital Ulcers with Inflamed Cartilage syndrome Proceedings of UCLA Healthcare Singh, B., Kedia, Rohit 2007; 8: 11-13
• The Uninsured Patient The American Journal of Medicine Singh, B., and Golden, R. 2006; 119 (166): e1-e5
• Soft Tissue Masses Proceedings of UCLA Healthcare Singh, B. 2005; 9 (1): 1-2
• Latent Tuberculosis Infection: Revised Recommendations Proceedings of UCLA Healthcare Singh, B. 2004; 8 (1): 1-5
• Benign Positional Vertigo Proceedings of UCLA Healthcare Singh, B. 2002; 6 (3): 9-16
• Acromegaly Present with Sleep Apnea Proceedings of UCLA Healthcare Singh, B. 2000; 4 (4): 6-9-8
• Tuberculosis: Review of PPD Testing and Prophylaxis Proceedings of UCLA Healthcare Singh, B. 2000; 4 (2): 22-26
• An Unusual Presentation of Ruptured Appendicitis Proceedings of UCLA Healthcare Singh, B. 2000; 4 (3): 4-6