Residents Resource Center News and Perspectives Featured

 
 
  • 'Compelling' Data: Bariatric Surgery Saves Lives   Why are there still so many hurdles between obese patients with type 2 diabetes who would benefit from this life-saving treatment?
  • Nocturnal Monitoring May Reduce SUDEP in Severe Epilepsy Monitoring patients with severe epilepsy in residential care facilities during the night was associated with a much lower rate of sudden unexplained death in epilepsy (SUDEP), a new study found.
  • 2018 ESC/ESH HTN Guidelines on Hypertension in Adults A synopsis of the new ESC guidelines for the treatment of high blood pressure in 10 brief bullet points.
  • MOC as Antitrust Issue: DOJ Backs More Choice in Certification Proposed Maryland legislation would promote greater competition among sponsors of physician specialty certification recognized by hospitals and insurers; the US Department of Justice approves.
  • Current and Emerging Therapies in Large-Vessel Vasculitis This review discusses the conventional treatments for large-vessel vasculitis as well as the potential of new biologic therapies.
  • Should Breast Surgery Be Its Own Medical Specialty? In the US, there are medical specialty boards for thoracic surgery, orthopedic surgery, head and neck surgery, colorectal surgery, and surgery for a variety of other organs/systems. But not the breast.
  • ECTRIMS 2018: Expect 'New Insights and Complexity' in MS   Dr Krieger provides a from-the-floor view of ECTRIMS 2018.
  • Corticosteroid Use and Intensive Care Unit-Acquired Weakness Is there an association between corticosteroid use and ICU-acquired weakness?
  • Comprehensive Evaluation of the Learning Curve for POEM How difficult is it to train endoscopists in the challenging procedure of peroral endoscopic myotomy, and how many cases are required to achieve technical proficiency?
  • How to Learn Better During Lectures Research has proven that one method works better for retaining information during lectures, but nobody seems to use it.
  • The Autopsy of Dr Death: An Interview With Laura Beil Dr. Death is a podcast that explores the criminal conviction of Christopher Duntsch. Host and writer Laura Beil discusses what the case says about the medical system and how to avoid the next 'Dr Death.'
  • Doctor's Medical School Choice Doesn't Predict Patient Outcomes Where a doctor went to medical school in the U.S. doesn't predict how well that doctor's patients will do, a new study suggests.
  • Residency Match Communication Too Stressful, Needs Reform A new study and accompanying commentary suggest that residency programs need stronger guidelines to help reduce the stress associated with communication during the match.
  • AAFP 2018Alternative to 10-Year MOC Exam Coming in 2019 Early next year, a pilot program will allow family physicians to answer 25 open-book questions every quarter on any computer, at no charge, instead of the 10-year maintenance of certification exam.
  • Big Changes Proposed for Dental Licensure A coalition of leading dental organizations has proposed eliminating live patient exams and standardizing dental licensure exams nationwide.
  • Life and Times of Leading Cardiologists: Joseph Hill   A sojourn in Paris, including training as a sommelier, is not the obvious route to editor-in-chief of Circulation. Dr Joe Hill discusses his circuitous journey in cardiology with Dr Magnus Ohman.
  • Believing Her Pain: My Education in Interpersonal Violence Are we too quick to disbelieve and dismiss patients' complaints of persistent pain? In this essay, the author recounts troubling, missed opportunities to recognize victims of interpersonal violence.
  • A Surgeon So Bad It Was Criminal Christopher Duntsch's surgical outcomes were so outlandishly poor that Texas prosecuted him for harming patients.
  • Cutting Costs in Diabetes Care   The WHO issues guidelines that can be used to manage diabetes in economically disadvantaged populations.
  • AI for Anesthesia: What Practicing Clinicians Need to Know What exciting new concepts might artificial intelligence and machine learning bring to the field of anesthesia?
  • Should Medical School Be Free? To address the problem of physician debt, some schools are offering free tuition.
  • How Medical Schools Can Meet Mental Health Needs of Students A school-based mental healthcare model helps medical students overcome barriers to accessing treatment for depression.
  • Minority Doctors in US Residency Programs Routinely Face Racism Minority doctors in training routinely deal with bias, sometimes subtle, sometimes not so subtle, a new study suggests.
  • The Telltale Tall R Waves A routine ECG in the neurologist's office prompts an urgent cardiology consultation.
  • 5 Tough New Ethical Dilemmas for Doctors Some ethical dilemmas that physicians deal with in their practice have been around for many years, but new ones have arisen, revolving around technology and business practices.
  • Prevention of Stroke in Obese Patients With Nonvalvular AF Which anticoagulant is most appropriate for stroke prevention in a patient with comorbid obesity and AF? Take this quiz created by experts at ACC to find out.
  • Diabetes Care in Older Adults With CVD: Patient Case Quiz Can you manage diabetes in older patients with co-existing CVD effectively? Test yourself with this patient case quiz created by experts from ACC.
  • Residents - Medscape
  • 2018 guidelines on idiopathic pulmonary fibrosis by the American Thoracic Society, European Respiratory Society, Japanese Respiratory Society, and Latin American Thoracic Society.
  • 2018 guidelines by the European Society of Cardiology on the management of cardiovascular disease during pregnancy.
  • Has Opioid Access Become Too Restrictive? Patients and doctors say that in responding to one crisis, authorities have created another among chronic pain sufferers. For many, the consequences have been dire.
  • 2018 guidelines on antimicrobial prophylaxis in cancer patients by ASCO and IDSA.
  • Worldwide, more than 200,000 women are estimated to develop ovarian cancer, and about 100,000 die of the disease every year. Do you know key components of presentation, workup, and treatment?
  • 2018 guidelines on chronic myeloid leukemia by the NCCN.
  • Intermediate Intervention With FGM Improves Glycemic Control   This interim intervention technique with retrospective flash glucose monitoring allows targeted dietary and pharmacotherapy modification plans.
  • A New Definition for Emphysema A new study has identified a clinically relevant definition for emphysema using CT imaging.
  • 15 Unassigned Books That Every Student Should Read Our advisory board has selected 15 books not typically assigned during medical school that every new doctor should read.
  • Opioid Prescribing for Acute Pain: Taking It to the Limit Prescribing limits is one strategy for combating the opioid crisis. But is it enough?
  • Laparoscopic Lavage vs Resection for Perforated Diverticulitis Dr Lowenfels comments on a study that compares DILALA (DIverticulitis -- LAparoscopic Lavage) versus resection (Hartmann procedure) for perforated diverticulitis.
  • Ondansetron Dosing in C-Section Under Spinal Anesthesia What is the minimal weight-based dose of ondansetron required to reduce hypotension after spinal anesthesia in women undergoing cesarean section?
  • 2018 guidelines by the National Consensus Project on palliative care.
  • With more combinations of drugs possible than ever before, avoiding preventable drug interactions is crucial. See whether you can recognize potentially dangerous combinations with this short quiz.
  • Racism, Sexism, Other Forms of Discrimination Persist in Ob/Gyn A trilogy of new articles details the many shapes and forms of discrimination and bias experienced by ob/gyn practitioners and suggests strategies to help tackle them.
  • The Latest Aspirin Research: Implications for Primary Care   What do the latest studies about use of aspirin for primary prevention, which call into question previous guidelines, mean for primary care practice?
  • TCT 2018COAPT Hits Sweet Spot of MitraClip Efficacy for Secondary MR   The trial drew applause at TCT but the findings contrast with those of MITRA-FR. What does this mean for the percutaneous management of secondary mitral regurgitation in patients with heart failure?
  • Coronary Microvascular Dysfunction: Common Finding in HFpEF   Dr Ileana Piña discusses coronary microvascular dysfunction in patients with heart failure with preserved ejection fraction with PROMIS-HFpEF investigator Dr Carolyn Lam.
  • Higher Postoperative UTI Rates When Medical Students Place Catheter Postoperative urinary tract infection (UTI) rates are higher after Foley catheter placement by medical students than after placement by operating-room nurses or surgical residents, according to U.S. data.
  • Building a Pipeline to Equity How can we address continuing ethnic and socioeconomic disparities in our medical schools? In this commentary, the author proposes a focus on community colleges as a pathway to medical education.
  • After Florence, Significant Worry Over Infectious Diseases
  • Radiological Case: Multiple Myeloma This 93-year-old male initially presented with clinical findings and history most suggestive of genitourinary pathology. How was the eventual diagnosis of multiple myeloma made?
  • Metformin and the Risk for Lactic Acidosis in CKD Dr Bansal reviews several studies that evaluate the safety of metformin in patients with chronic kidney disease.
  • A 45-year-old woman is presented to the emergency department as priority 1 unresponsive. Her boyfriend found her foaming at the mouth and unresponsive. What's the cause?
  • Can NPs and PAs Replace Hospitalists?   Are physician-extenders just as capable of caring for patients as hospitalists are?
  • Generalized anxiety disorder is associated with persistent, excessive, and unrealistic worry not focused on a specific object or situation. Do you know key information needed to provide the best care?
  • Marrying or Medicine: Does a White Coat Make Dating Harder? Medical training takes place right when most people are settling down with spouses and partners. When it comes to love and a career in medicine, some challenges are more overwhelming than others.
  • Extended- vs Narrow-Spectrum Antibiotics in Appendicitis What is the best choice of antibiotic therapy for uncomplicated appendicitis in children? Dr Lowenfels comments on a study published in Annals of Surgery.
  • Resident Suicide: A Tragedy, and What Can Help? A compelling documentary examines the pressures and dangerous forces that lead residents and practicing physicians to doubt themselves, make errors, and take their own lives.
  • Enhanced Surveillance for Coccidioidomycosis Enhanced surveillance for coccidioidomycosis in endemic areas may help improve the awareness and diagnosis of the infection in non-endemic states.
  • Glioblastoma Knowledge Shot   On August 25th, 2018, Senator John McCain died after battling with glioblastoma. Here is a quick look at what makes glioblastomas so deadly.
  • A Hit Documentary Exposes Psychiatry's Past Failures Dr Robert Berezin on the tale of triplets separated at birth for a tragically misguided purpose.
  • Burnout Starts Early, Especially in Some Specialties Data show symptoms of burnout begin early in residents' medical careers, but burnout measures are so varied and inconsistent that few conclusions can be drawn on overall prevalence among physicians.
  • COMMANDER HF: What Now for Anticoagulation in Heart Failure?   Drs Ileana Piña and Mandeep Mehra discuss the neutral results of the COMMANDER HF trial on rivaroxaban in patients with heart failure in sinus rhythm.
  • Does Dyspnea Really Matter in Heart Failure? Does dyspnea really impair activity in chronic heart failure? A new study only underscores our lack of knowledge on the pathogenesis and clinical importance of exertional dyspnea in CHF.
  • Strike Three for Aspirin in Primary Prevention   Three more studies seal the deal: Aspirin no longer has a role to play in primary prevention of heart attacks, says Perry Wilson.
  • Seeking High-Quality Cancer Care for Everyone   Outside of clinical trials, we still see large disparities in survival from common cancers among black and white patients.
  • Choosing to Do--or Not Do--a Genital Exam   Does the conventional wisdom about annual routine pelvic exams need to change? AAFP thinks so.
  • Even With More U.S. Dermatologists, Rural Patients May Lack Access The number of dermatologists per capita in the U.S. has surged more than 20 percent since the mid-90s, but a new study suggests access to care may have improved more in cities than in rural areas.
  • New and updated guidelines by the WSES provide recommendations on management of large bowel perforation, obstructive left colon carcinoma, and obstructive right colon carcinoma.
  • New clinical practice guidelines on the diagnosis and management of adult chronic diarrhea by the British Society of Gastroenterology.
  • New and updated guidelines by the AHA/ACC provide recommendations on management of congenital heart disease in adults.
  • New clinical practice guidelines on the diagnosis and management of heart failure by the National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand.
  • New clinical practice guidelines on the diagnosis and management of atrial fibrillation by the National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand.
  • New clinical practice guidelines for polycystic ovarian syndrome by the Australian NHMRC, the ESHRE, and the ASRE.
  • New safety guidelines for the use of biologic DMARDS for inflammatory arthritis.
  • New cardiovascular magnetic resonance training guidelines by the SCMR for practitioners of CMR across various specialties.
  • New clinical practice guidelines on diagnosis and treatment of disorders of consciousness, including minimally conscious state, posttraumatic vegetative state, and unresponsive wakefulness syndrome.
  • POCUS for Catheter Placement: Relevance to Nephrology Dr Desai states why nephrologists should consider ultrasound-based catheter confirmation in lieu of chest x-rays.
  • Cancer Incidence Continues to Rise: 1 in 5 Men, 1 in 6 Women The latest global report on cancer estimates 18.1 million new cases in 2018, with 1 in 5 men and 1 in 6 women affected by the disease.
  • No Amount of Alcohol Is Safe: The Debate Goes On A recent study concluded that there is no such thing as a safe amount of alcohol. Medscape readers weigh in on the clinical significance of the results.
  • The Latest Attack on Low-Carb Diets: Science or Politics? A recent paper in Lancet Public Health announced that low-carb diets are associated with increased mortality. But are the study's conclusions based on sound scientific evidence?
  • Pericardiobiliary Fistula After Penetrating Abdominal Trauma This case describes the diagnosis and management of pericardiobiliary fistula, a rare but serious complication of penetrating trauma to the thorax, in a patient with a gunshot wound.
  • Systematic Reform Needed to End Sexual Harassment in Medicine Chronic undervaluing of women in medicine and other systematic failures contribute to sexual harassment and imperil care, according to a pair of editorials.
  • Pregnancy Stigma, Lack of Maternity Leave May Drive Women From Surgery Careers Women training for careers in surgery are more likely to abandon the profession when they experience pregnancy discrimination or have insufficient time for maternity leave, a U.S. study suggests.
  • A Post-Op Analgesic Approach For Hip Fracture Repair: A Case This case describes the use of a SIFI block after surgery to minimize the use of psychotropic medications in the elderly patient population.
  • Do you know key aspects of atrial fibrillation, including important elements of the etiology, presentation, workup, and treatment? Refresh and assess your knowledge with this quick quiz.
  • Choosing a Specialty in the Age of Artificial Intelligence Experts in artificial intelligence (AI) say big changes are coming. Should medical students worry that machines may soon replace some specialists?
  • How Close Is Too Close? Treating Loved Ones With Cancer When it comes to treating loved ones, close friends, and even colleagues for a potentially life-threatening cancer, can the emotional pitfalls be avoided and objective clarity be maintained?
  • Medical Education Surveys Reveal Need for Further Scrutiny The results of two surveys on medical education and residency programs raise questions about increasing need for scrutiny and evaluation in the wake of a looming physician shortage.
  • Neurogenic Cough: New Insights   Dr David Johnson on the treatment of patients locked into a cycle of coughing.
  • Point-of-Care Ultrasonography in Family Medicine Should you be using point-of-care ultrasonography as an in-office diagnostic tool? Growing evidence shows that POCUS can help decrease costs while improving patient access to care and safety.
  • Is Computer-Assisted CBT Effective for Treating Depression?   Dr Peter Yellowlees discusses the potential for improving the efficiency of psychotherapy for depression with the use of computer-assisted CBT.
  • Suicide Notes Suggest 'Chilling' Role of Chronic Pain   Clinicians may need to reprioritize chronic pain as a risk factor for suicide, a new study suggests.
  • A 38-year-old man presents with a 3-day history of bleeding from his gums after brushing his teeth. He also noticed a rash on both legs over the past couple of weeks. Can you make the diagnosis?
  • Artificial Intelligence in Cancer Care: 5 Things to Know From detecting cancer to recommending treatments, artificial intelligence is poised to improve cancer care in myriad ways.
  • Clostridium difficile Infection: 5 Things to Know As the most common microbial cause of healthcare-associated infections in US hospitals, clinicians need to have an understanding of C difficile infection. Start with these five key focus areas.
  • Reproductive Life in Women With Celiac Disease Might undiagnosed celiac disease affect a women's reproduction? This study investigated the impact of celiac disease on reproductive outcomes, both before and after diagnosis.
  • When a Patient Turns Into a Friend   Dr David Kerr discusses his personal experience with patients who become friends.
  • Emerging Platform Technology for Cancer: Nuclear Imaging   Dr David Kerr discusses a new study showing that chromatin organization may be an important biomarker in cancer. Might it be useful for more than prognosis?
  • Which Technique Is Best for Gallstones/Biliary Duct Calculi? Dr Lowenfels comments on a study that examines the efficacy and safety of four techniques for removing stones in the bile duct and gallbladder.
  • Medical Student Life & Education Report 2018 Medical students from across the United States were asked about debt, work-life balance, harassment/discrimination, and other essential aspects of the educational experience. See how they responded.
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