Residents Resource Center News and Perspectives Featured

 
 
  • A 65-Year-Old Man With Abdominal Pain: USMLE Question A 65-year-old man presents with abdominal and bone pain, as well as altered mental status. Are you able to make the right diagnosis?
  • Sexual Harassment Common in Surgical Training Programs About seven in 10 young female surgeons say they have experienced at least one form of sexual harassment during their training, according to a new survey.
  • Well-Woman Care: The Evidence That Less Is More   The times they are a-changing when it comes to screening well women for cancer and other conditions. Dr Kenny Lin reviews the current state of evidence.
  • Emergency-Medicine Residents Often Miscalculate IV Doses for Kids Emergency-medicine residents often miscalculate doses for a variety of intravenous medications used to treat children, according to new findings.
  • Should Docs Tout Products and Personal Causes Online?   'The old-school view, that you keep your opinions to yourself, is so dead as to be rotting,' says Dr Art Caplan. But how can we negotiate social media without offending our patients?
  • Interns Spend Most Time With EMRs, Not Patients Interns spent most of the day on indirect patient care; most of this time was spent working with electronic medical records (EMRs) and multitasking, according to the iCOMPARE study.
  • Medical Groups Support Bid to Add 15,000 Residency Slots Hospital and physician organizations are pressing lawmakers to expand Medicare funding for graduate medical education.
  • Mobile Traveling Healthcare Teams Is this delivery model an effective approach to reaching those who may lack access to healthcare?
  • Barriers and Facilitators of FIT Colorectal Cancer Screening Half of patients in this study who received a fecal immunochemical test kit at a federally qualified health center did not return it. Why not?
  • Are you prepared to confront various conditions related to memory loss? Test your knowledge with this quick quiz.
  • Mum's Care: Hospital Recommendations Reveal Implicit Racism Seeking guidance on her Indian-Muslim mother's care, a physician instead discovers a disconcerting subtext.
  • Tuberculosis -- United States, 2018 Can the US meet the goal of tuberculosis elimination in the 21st century? This report looks at current trends in TB incidence in the US.
  • Athletes in Medical School Few students choose to formally participate in athletics during their medical training, but their unique experiences provide insights into conditioning that are beneficial to almost everyone.
  • A 22-Year-Old Man Who Can't Speak: USMLE Question A 22-year-old man presents with difficulty speaking and an inability to swallow. Can you correctly identify the most appropriate treatment?
  • Decision-making in prostate cancer treatment can be nuanced. How much do you recall regarding the treatment of prostate cancer? Refresh your knowledge with this short quiz.
  • Antimicrobial Stewardship Programs in Long-term Care Settings How are antimicrobial stewardship interventions being implemented in long-term care facilities, and what are the unique challenges these settings present?
  • Are you familiar with key aspects and best practices for patients who present with symptoms of arrhythmias? Refresh and test your knowledge with this short quiz.
  • Are you familiar with the pathophysiology and treatment options for FSIAD/HSDD? Test your knowledge with this short quiz.
  • When Is It Okay to Date a Patient?   Bioethicist Dr Art Caplan discusses considerations for deciding when romantic relationships with patients are or are not acceptable.
  • Fever in Travelers: Could It Be a Viral Hemorrhagic Fever? Would you recognize a possible life-threatening VHF on the basis of symptoms and travel history?
  • Automated Computer Rating of Surgical Technical Skill What benefits might computer vision technologies offer in the assessment of surgical technical skills?
  • Fukushima Contaminants Found as Far North as Alaska's Bering Strait Radioactive contamination from Japan's Fukushima Daiichi nuclear power plant hit by a tsunami in 2011 has drifted as far north as waters off a remote Alaska island in the Bering Strait, scientists said on Wednesday.
  • Fixing the 'Leaky Pipeline': More Women Leaders in Medicine The lack of women in leadership positions in academic medicine has been well documented. A group of students has created an organization designed to address this inequality.
  • A 64-year-old man with a history of chronic obstructive pulmonary disease, alcohol abuse, and depression presents with acute hepatic failure. Can you identify the correct cause?
  • Closing the LGBTQ Health Gap The founder of a site dedicated to helping provide LGBTQ patients with proper care shares his motivations behind creating the site and the importance of addressing current disparities.
  • Skin Care Guidelines for Patients With Mycosis Fungoides Optimal cleansers, moisturizers, and bathing habits are reviewed in these skin care guidelines for patients with cutaneous lymphoma.
  • Consensus Statement: Toward Opioid-Free Arthroplasty Amidst the ongoing opioid crisis, an expert panel convened to advise clinicians on how to manage postarthroplasty pain and limit the risk for addiction.
  • Fraud and Deception During Residency Application Match Day is always an anxious event, but that anxiety rarely involves criminal authorities. A unique case involving deception and fraud may provide important lessons for students and faculty.
  • Attitudes and Barriers to Management of Vulvovaginal Atrophy How do primary care and gynecology clinicians differ in their knowledge and confidence in managing vulvovaginal atrophy, and what do they consider as barriers to management?
  • Management of patients with metastatic bone disease (MBD) requires an interdisciplinary approach. Test your knowledge of the presentation, workup, and treatment of MBD with this short quiz.
  • Management of patients with metastatic bone disease (MBD) requires an interdisciplinary approach. Test your knowledge about the presentation, workup, and treatment of MBD with this short quiz.
  • Smartest Financial Steps for Young Doctors Time is truly money when it comes to savings and investment, especially for young doctors. A physician shares tips for peers to enjoy the present while also saving for the future.
  • Suicide rates have been increasing among young Americans. Worldwide, Nearly 800,000 people die by suicide each year. Review key aspects, including risk factors and interventions, with this quiz.
  • A New Era, and Marketing Plan, for Psychiatry   Marketing in psychiatry: Dr Stephen Strakowski discusses the importance of being clear.
  • Thinking Inside the Box With AI and ML What benefits might artificial intelligence and machine learning bring to the field of radiology?
  • 2019 guidelines on acute calculous cholecystitis in the elderly by the World Society of Emergency Surgery (WSES) and the Italian Society of Geriatric Surgery (SICG).
  • Allergic Rhinitis: Overview Video   Review and refresh your knowledge on the causes, symptoms, diagnosis, treatment, and pathology of allergic rhinitis with this overview video.
  • Not 'Burnout,' Not Moral Injury--Human Rights Violations While some say that physicians are suffering from burnout or moral injury, Dr Pamela Wible says it's a different phenomenon, and one that needs to change.
  • Doctors Don't Have the Right to Threaten to Kill Patients   Dr Art Caplan discusses fired resident Lara Kollab as an example of how not to treat patients and the appropriate penalties of such threatening behavior.
  • AAPM 2019Novel Program Trains Nurse Practitioners to Manage Pain Patients In a unique educational program, nurse practitioners learned how to examine patients with shoulder and knee pain and how to determine which patients require specialist referral.
  • A Boy With Frequent Diarrhea: IBS or IBD? Does this 10-year-old boy have inflammatory bowel disease, irritable bowel syndrome, or possibly both?
  • A Psychiatrist Copes With Her Patient's Suicide Dinah Miller, MD, discusses her shock and grief at losing a patient to suicide, and the larger issues it raised about contemporary psychiatry.
  • Is 'High-Yield ' Learning Making Future Docs Less Prepared? Because so-called 'high-yield ' learning is associated with simply passing a specific test, it could have negative outcomes on clinical practice in the long term.
  • Alert Residency Match Day Is Largest in History A record 38,376 US and international applicants submitted program choices for 35,185 positions; 80% of applicants matched to PGY-1 positions, and 95% of PGY-1 positions were filled.
  • Seroprevalence of Heartland Virus Antibodies in Blood Donors Researchers were able to estimate the seroprevalence of Heartland virus by identifying antibodies in blood specimens obtained from donors.
  • Physician Loneliness: Just Me and My EHR Physicians weigh in on the reasons why they think loneliness is more prevalent in their profession.
  • Improving the Triage Amalgamated Dermoscopic Algorithm By teaching FPs the clinical and the dermoscopic features of common benign skin lesions, this study sought to improve the diagnostic accuracy of the triage amalgamated dermoscopic algorithm.
  • Appendicitis is one of the more common surgical emergencies. Are you familiar with the latest best practices for diagnosis and treatment? Refresh and test your knowledge with this short quiz.
  • 30-Hour Shifts for Residents Just as Safe?   Two sister analyses of resident work schedules and their effects on patient safety may not translate to real life, says Perry Wilson.
  • Unforgettable Match Day Stories and Residency Advice From stories of Match Days gone wrong to advice about what comes next, our readers and distinguished contributors speak from the heart about one of the most important days in a young doctor's life.
  • Do you know the latest treatment options for Waldenstr├Âm Macroglobulinemia? Test your knowledge with this short quiz.
  • Mild Allergic Transfusion Reactions A better understanding of the symptoms associated with mild allergic transfusion reactions may help improve the identification and management of these reactions.
  • Campylobacteriosis Outbreak Associated With Municipal Water This Campylobacter outbreak occurred due to a malfunctioning irrigation system that allowed livestock waste water to collect near wells feeding a municipal water supply.
  • Death by Error: Where's the Justice? After a physician trainee is convicted for a patient's death, another physician recalls her own fatal error.
  • Confronting Transphobia in Healthcare Transphobia is pervasive in healthcare, according to those in the know, but is it possible to eliminate it through education? These resources will help.
  • Woes Continue for Those Seeking Multistate Medical Licenses Dr Andrew Wilner on the obstacles surrounding multistate licensing, and how the Interstate Medical Licensure Compact is a small step toward surmounting them.
  • A Post-discharge Telephone Follow-up Program for Urology A novel telephone follow-up process may be an effective means of communicating with urological surgery patients after discharge.
  • A Checklist for Care Transition During Resident Shift Change Might the implementation of a standardized sign-out checklist help improve the transition of patient care during shift changes?
  • A 36-Year-Old Man Who Bruises Easily: USMLE Question A 36-year-old man has been bruising more easily. What treatment is recommended?
  • Perioperative Management of Disruptive Patients What should you do if a patient demonstrates discriminatory behavior towards an anesthesiology resident? Learn from one center's experience.
  • Although hemorrhoids are common, many patients are too embarrassed to seek treatment. Are you familiar with best practices for diagnosis and management? Test your knowledge with this short quiz.
  • Life and Times of Leading Cardiologists: Mary Norine Walsh   Hospitalization as a child sparked 'Minnow' Walsh's desire to enter medicine. Her path from nurse's aide to president of the ACC was peppered with mentors and balanced by a love of French literature.
  • Physician Burnout and Addressing Patients' Social Needs This study explored the relationship between physicians' perception of their clinic's ability to address patients' social needs and physician burnout.
  • Tools for Deprescribing in Frail Older Persons The authors evaluated 15 tools designed to assist clinicians in identifying and reducing or stopping potentially inappropriate medications in frail older persons or those near the end of life.
  • Longer Resident Hours Not Tied to Worse Outcomes New data can put the question of resident hours to rest, experts said.
  • Magical Match Day Moments Although the lead-up can be incredibly stressful, memories of Match Day are often among the favorites of residents and doctors. Here are some special moments from across the country.
  • Update: Influenza Activity -- United States Get up-to-date on the most recent data on influenza activity in the United States.
  • The Pressure of Choosing a Specialty Choosing a specialty is a complicated, messy process that may be more closely associated with burnout later in one's medical career than most would like to admit.
  • Radiological Case: Inferior Vena Cava Bullet Retrieval This report presents a rare case of vascular bullet embolism associated with a gunshot injury. What did imaging reveal about the bullet trajectory path?
  • For Diagnosing a Patient's Ills, There's Strength in Numbers Diagnoses may be more accurate if they are the result of online physician crowdsourcing, a new study suggests.
  • Implications of the T2DM-CVD-CKD Link: What We've Learned   Drs Jay Shubrook and Katherine Tuttle discuss current understanding of these important links and implications for screening and detection.
  • 2019 guidelines by the National Institute for Health and Care Excellence (NICE) on antimicrobial prescribing guidance for managing common infections.
  • ECG Challenge: 'I Feel Like I'm Going to Pass Out' An older man presents with a very slow pulse. What's going on?
  • Pro Tips on USMLE-Rx   In this video interview, Tao Le, MD, creator of USMLE-Rx, discusses tips for students to get the most out of this study tool.
  • An Intubation Strategy When Only the Epiglottis Is Visible The authors describe an adjunctive technique in C-L III airway, when only the epiglottis is seen, which can facilitate intubation and improve success without increasing procedure difficulty.
  • Overlapping Surgery for Training Surgical Residents Generally Safe Overlapping surgery is not associated with worse perioperative outcomes compared with nonoverlapping surgery, a large retrospective analysis suggests.
  • As many as one third of certain US population groups have nutritional deficiencies, and malnutrition remains a significant worldwide concern. Test yourself on common deficiencies with this short quiz.
  • 2019 guidelines from Diabetes Canada on family physician-based treatment for patients with type 2 diabetes.
  • Docs Reveal the Keys to a Happy Medical Marriage Being a good physician is a challenge. So is being a good spouse. Here are 10 tips from peers on how to balance medicine and marriage.
  • Laboratory Ordering Practices for CBC With Differential Is it feasible to reduce the number of CBC with differential tests ordered without impacting patient care?
  • Writing Review, Research, QI, and Practice Manuscripts This article provides a guide for effectively writing and disseminating important nursing research.
  • More PCPs Pays Off -- So Pay Them More?   Mortality rates go down when there are more primary care physicians in the area, according to a new study. So why aren't we investing in more PCPs? asks Perry Wilson.
  • Advice for Match Day and the 'After-Match' From faculty to students, everyone has plenty to say about the Match Day process. Here's what people usually leave out regarding the emotional ups and downs.
  • What Nobody Tells You About Match Day From faculty to students, everyone has plenty to say about the Match Day process. Here's what people usually leave out regarding the emotional ups and downs.
  • 5 Things to Know About CAM and Cancer Complementary medicine use is on the rise in the US, particularly among patients with cancer. This article discusses potential interactions between anticancer medications and herbal remedies.
  • A New Biological Definition of Alzheimer Disease   Defining Alzheimer disease: Dr Alan Jacobs discusses a new biological definition and its implications.
  • Physicians are often too quick to overlook mild anemia. Do you know key aspects and best practices related to various anemia causes? Refresh and test your knowledge with this short quiz.
  • Addressing Mental Health Needs Among Physicians This essay explores innovative approaches that physician health programs are taking to reduce physician burnout. But some factors may actually discourage doctors from seeking support.
  • Free Tuition for First Classes of Kaiser Permanente Med School The California medical school will open in the summer of 2020 and will begin accepting applications to its inaugural class this spring.
  • A 67-year-old man presents after experiencing palpitations while having dinner with his wife. This was suddenly followed by lightheadedness and a transient loss of consciousness. What's the diagnosis?
  • To Maintain Trust in Science, Lose the Peer Review In response to an outcry from top journal editors about the loss of trust in medicine, Mazer and Mandrola suggest ditching peer review and inviting nonscientists to the review process instead.
  • From Paper to EHR: A Millennial's Perspective The shift from paper records to EHRs has changed hospital culture. Earlier methods required community involvement, making the new process feel more isolated and lonesome. Can it be fixed?
  • HIV Partner Service Delivery Among US Blacks Are African American sexual or needle-sharing partners of HIV-infected persons receiving adequate testing for HIV infection and linkage to care in the US?
  • 'Leading the Charge' on Racism, Sexism, Activism in Medicine   Emergency medicine doctor and 'public health guru' Esther Choo on racism, sexism, inequity, and inclusion in medicine.
  • New Data on Treating Depression in Dementia   Do clinical trials support the efficacy of antidepressants in patients with dementia and depression? Dr Yellowlees reports on a new Cochrane Review.
  • Cardiology Topics to Watch for in 2019 Wearables, aspirin for secondary prevention, AI and machine learning, and drug pricing are among the topics to keep an eye on in 2019, according to cardiologists Drs Harrington and Gibson.
  • Risk Factors for Prolonged Opioid Use After Spine Surgery Which spine surgery patients are more at risk of prolonged opioid usage after surgery?
  • Joint pain results in substantial financial costs and diminished quality of life. Do you know key aspects and guidelines for best practices related to common causes of joint pain?
  • An 80-year-old woman presents with malaise, nausea and vomiting, abdominal pain, and watery diarrhea. She is highly active, with a full-time job as a realtor. What's the diagnosis?
  • Leadership in American Surgery: Women Are Rising to the Top Women are increasingly playing leadership roles in the surgical field, but it is equally important to continue to advance diversity in these positions.
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