New Institute to Focus on Immune System

New Institute to Focus on Immune System

Vanderbilt University Medical Center (VUMC) is launching a new institute to coordinate initiatives among the rapidly evolving disciplines of infection biology, immunology and inflammatory diseases. The Vanderbilt Institute... read more

ICU Medicine Is a Team Sport

ICU Medicine Is a Team Sport

I am incredibly fortunate to work on a multidisciplinary team every day. The team includes respiratory therapists, nurses, nutritionists, attending physicians (APs), and advanced practice providers (APPs) (nurse practitioners... read more

What Is Permitted in Text Messaging About Protected Health Information?

What Is Permitted in Text Messaging About Protected Health Information?

This Viewpoint discusses the best use of texting clinical information, noting that neither Health Insurance Portability and Accountability Act nor the Health Information Technology for Economic and Clinical Health Act offer... read more

Integrating Advance Care Planning into Practice

Integrating Advance Care Planning into Practice

Advanced respiratory diseases progress over time and often lead to death. As their condition worsens, patients may lose medical decision making ability. Advance care planning (ACP) is a process in which patients receive information... read more

Facing Change: When to Embrace, When to Resist

Facing Change: When to Embrace, When to Resist

This editorial is focused on 3 major areas where change is occurring: (1) change in scientific evidence leading to modification in practice, (2) changes in the health care system structure and how it affects our daily lives,... read more

Physician Depression and Suicidality

Physician Depression and Suicidality

As physicians, we frequently care for patients with depression and suicidal ideations. On occasion, we may also have to treat patients who have actively attempted suicide via methods such as medication overdose or self-inflicted... read more

Why Does Conflict of Interest Matter?

In this Viewpoint, the former president of the Institute of Medicine discusses the importance of conflicts of interest to the integrity of the medical profession, and the importance of policies to manage conflicts of interest... read more

I was confident in my patient’s care. Then my senior doctor overruled me

I was confident in my patient’s care. Then my senior doctor overruled me

When a resident and an attending physician disagree, the attending has the right to overrule the resident. But both should talk openly about the issue. During one 28-hour call shift, I took care of a critically ill man in... read more

Top 5 Skills Every Nurse Should Develop Quickly

Top 5 Skills Every Nurse Should Develop Quickly

What are the top five skills that every nurse should develop? Nope! Not those. I imagine many of you reading automatically think about the clinical skills it takes to become a professional nurse. While clinical skills are... read more

Defining the Role of Specialists in Value-Based Health Care

Defining the Role of Specialists in Value-Based Health Care

Health care is at a crossroads and under pressure to add value by improving patient experience and health outcomes and reducing costs to the system. Efforts to improve the care model in primary care, such as the patient-centered... read more

Anesthesiologists Found Underreporting Medication Errors

Anesthesiologists Found Underreporting Medication Errors

Medication errors are apparently significantly underreported by anesthesia providers, at least at certain institutions. These recent findings may reflect a culture of underreporting or fear of punitive action, despite the... read more

2017’s Tell-All Social Media Guide for Doctors and Hospitals

2017’s Tell-All Social Media Guide for Doctors and Hospitals

You may have thought "this too shall pass", but now you’ve realized the inevitable truth: social media is here to stay. If you’ve never given social media much thought when it comes to your physician practice... read more

How to keep up with the scientific literature

How to keep up with the scientific literature

Few aspects of scientific work may be as crucial - and yet as easy to neglect - as reading the literature. Beginning a new research project or writing a grant application can be good opportunities for extensive literature... read more

Genomics, Health Disparities, and Missed Opportunities for the Nation’s Research Agenda

Genomics, Health Disparities, and Missed Opportunities for the Nation’s Research Agenda

The completion of the Human Genome Project occurred at a time of increasing public attention to health disparities. In 2004, Sankar and colleagues1 suggested that this coincidental timing resulted in an inappropriate emphasis... read more

Protocol Lacking for Post-op Delirium

Protocol Lacking for Post-op Delirium

While 70% of anesthesiologists say they "frequently" or "occasionally" encounter postoperative delirium in their practices, more than three-fourths (77%) lack a process to screen for at-risk patients.... read more

Medical residents spend more time using computers than on patient interaction

Medical residents spend more time using computers than on patient interaction

At a teaching hospital in Switzerland, internal medicine residents spent an average of 52.4% and 47.9% of the day shift and evening shift, respectively, on activities indirectly related to the patient and spent 28.0% and... read more

Four ways to reduce dangerous medical errors at your hospital

Four ways to reduce dangerous medical errors at your hospital

It's human nature, everyone makes mistakes. But the consequences of those mistakes can range wildly not only according to their severity, but also depending on who commits them. When a marketer makes a typo on a press release,... read more