Associations Between American Board of Internal Medicine Maintenance of Certification Status and Performance on a Set of Healthcare Effectiveness Data and Information Set Process Measures Bradley Gray. Jonathan Vandergrift. Bruce Landon. James Reschovsky. Rebecca Lipner. Annals of Internal Medicine.
Source: annals.org
Management Reasoning: Beyond the Diagnosis: This Viewpoint discusses management reasoning, ways in which it differs from diagnostic reasoning, and areas that require further research. David A. Cook. Jonathan Sherbino. Steven J. Durning. JAMA.
Source: jamanetwork.com
Aligning an undergraduate psychological medicine subject with the mental health needs of the local region: The James Cook University (JCU) medical school recently revised its Year 2 human development and behaviour module to be more relevant and practical for students, and more aligned with the mental...
Source: biomedcentral.com
An Implementation Guide to Reducing Overtreatment of Asymptomatic Bacteriuria: This article proposes an evidence-based implementation guide to aid clinicians in reducing inappropriate treatment of asymptomatic bacteriuria. Michael Daniel. Sara Keller. Mohammad Mozafarihashjin. Amit Pahwa. Christine Soong....
Source: jamanetwork.com
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines Paul K. Whelton. Robert M. Carey....
Source: ahajournals.org
Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-Day Mortality Among Hospitalized Medicare Beneficiaries: This cohort study evaluates the differences in quality and costs of care related to locum tenens vs non–locum tenens physicians treating hospitalized Medicare beneficiaries....
Source: jamanetwork.com
Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment: This Teachable Moment examines the danger in overvaluing laboratory test results that contradict clinical findings. Elizabeth Y. Wang. Lauren Patrick. Denise M. Connor. JAMA Internal Medicine.
Source: jamanetwork.com
Towards a Competence-Based Course Authoring Tool Supporting Learning Management Systems: To establish a more comparable, compatible, and coherent system of higher education in Europe, the so-called Bologna Process (BP) has been adopted. As a measure to improve comparability, the BP requires that every...
Source: online-journals.org
Are other specialties becoming de-skilled? Tony James - a geriatrician colleague of mine from my time in Bridgend - puts the question. A generation of Doctors unable to look after their patients?: Dr Anthony James is a Consultant Physician at Princess of Wales Hospital. There have been many changes...
Source: wordpress.com
The Health and Social Care Act of 2012 - making GPs lead Clinical Commissioning Groups - did not reduce overall hospitalisations study concludes. "[G]iving control of healthcare budgets to GP-led CCGs was not associated
with a reduction in overall hospitalisations and was associated with an
increase...
Source: plos.org
The Nuremberg Code 70 Years Later: This Viewpoint examines the impact that the Nuremberg Code has had on the history of biomedical research ethics and discusses its place at the intersection of contemporary medicine and politics. Jonathan D. Moreno. Ulf Schmidt. Steve Joffe. JAMA.
Source: jamanetwork.com
Collaborative Care Linked to Better Outcomes in Substance Use Disorders: By Kelly Young
Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD
Patients with alcohol or opioid use disorder treated with a collaborative care model in primary care are twice as likely to receive evidence-based...
Source: jwatch.org
Effect of Malaria Initiative: Launched in 2005 by President George W. Bush and expanded by President Barack Obama, the US President’s Malaria Initiative (PMI) has been one of the main sources of funding for malaria prevention interventions in sub-Saharan Africa. A new report in PLoS Medicine shows...
Source: jamanetwork.com
Shared Decision Making and Improving Health Care: The Answer Is Not In: Achieving health care of higher quality at lower cost has fueled policy interest in shared decision making (SDM).1 In SDM, clinicians and patients work together to understand the patient’s situation and determine how best to address...
Source: jamanetwork.com
Measuring Surgical Outcomes for Improvement: Was Codman Wrong?: Ernest Amory Codman was the courageous early 20th century champion for an “end results system” to track hospital outcomes, an idea his surgical colleagues did not welcome. If he were to come back to life today, he would feel vindicated,...
Source: jamanetwork.com
Risky Alcohol Intake on the Rise — Especially in Women, Minorities, Seniors: By Kelly Young
Edited by Susan Sadoughi, MD
The prevalence of high-risk drinking and alcohol use disorder increased sharply over a decade, constituting a public health crisis, a JAMA Psychiatry study concludes.
Two surveys...
Source: jwatch.org
Judge warns of 'blood on our hands' if suicidal girl is forced out of secure care: Sir James Munby, head of high court’s family division, ‘ashamed and embarrassed’ no hospital place has been found for 17-year-old girl X. The judge added: “We are, even in these times of austerity, one of the...
Source: theguardian.com
Human Insulin for Type 2 Diabetes: An Effective, Less-Expensive Option: This Viewpoint suggests that clinicians prescribe human insulin products as a more-affordable option over insulin analogues and explains dosing options. Kasia J. Lipska. Irl B. Hirsch. Matthew C. Riddle. JAMA.
Source: jamanetwork.com
Treatment of Elevated Cholesterol in 2017: This Viewpoint clarifies 3 treatment options for treating patients with elevated cholesterol levels by discussing patient goals, encouraging lifestyle changes, and using lipid-lowering medication. Harlan M. Krumholz. JAMA.
Source: jamanetwork.com
Reducing Excessive Use of Antipsychotic Agents in Nursing Homes: This Viewpoint describes the structure and outcomes of a national initiative of the Centers for Medicare & Medicaid Services to reduce the use of antipsychotics in nursing homes. Jerry H. Gurwitz. Alice Bonner. Donald M. Berwick. JAMA....
Source: jamanetwork.com