Attitudes, Beliefs, and Awareness of Graduate Medical Education Trainees Regarding Palliative Care

Surgical trainees and trainees without previous PC rotation had significantly less awareness of PC. Overall, trainees perceived PC as beneficial to patients and capable of reducing costs while increasing survival; they also... read more

Burnout and Stress Among US Surgery Residents

Burnout among physicians affects mental health, performance, and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that can contribute to burnout... read more

Prevention of Hospital Infections by Intervention and Training (PROHIBIT)

Results of a pan-European cluster-randomized multicentre study to reduce central venous catheter-related bloodstream infections. This study demonstrates that multimodal prevention strategies aiming at improving CVC insertion... read more

How Bacteria May Help Regulate Blood Pressure

While bacteria once had negative connotations, scientists are now saying it could be good for you. Smell receptors in kidneys sniff out signals from gut bacteria for cues to moderate blood pressure. Some years ago, when Jennifer... read more

Ethics in the NICU: Principles, Methods, and Application

Dr. Mark Mercurio gives a basic review of some of the fundamental principles and approaches relevant to decision-making in the NICU. Adequate fellowship training in ethics and professionalism is essential so that neonatologists... read more

Heuristic Thinking in the Emergency Department

This paper explores the use of heuristics among highly-trained physicians diagnosing heart disease in the emergency department, a common task with life-or-death consequences. Using data from a large private-payer claims database,... read more

Improving Handovers By Learning From Ferrari Team

We were able to improve our vulnerable processes by translating good practice found in two industries – aviation and motor racing – into healthcare. We were able to do this by taking into account the subtle complexities... read more

Effects of Physical Activity on Poststroke Cognitive Function

Despite the social, health, and economic burdens associated with cognitive impairment poststroke, there is considerable uncertainty about the types of interventions that might preserve or restore cognitive abilities. The... read more

Prehospital Antibiotics in the Ambulance for Sepsis

Emergency medical services (EMS) personnel have already made substantial contributions to improving care for patients with time-dependent illnesses, such as trauma and myocardial infarction. Patients with sepsis could also... read more

Will You Be My Mentor?

The origins of mentoring date back to Odysseus, who entrusted care of his son to Mentor when he set off to fight the Trojan wars. Mentor became a trusted advisor, teacher, and friend to Telemachus, epitomizing the attributes... read more

Taking Care of the Physician

There is increasing conversation about "physician wellness" these days, as we look at how young doctors are trained, and at the physical, emotional and spiritual pathways of those who are supposedly (and arduously and extensively)... read more

Animal-assisted Activity in the ICU

Animals are being introduced into hospital settings in ever-increasing numbers. Emerging literature suggests that incorporating trained animals to assist with medical care and rehabilitation therapies can promote patient... read more

The House of God

The House of God is a mesmerizing and provocative novel about Roy Basch and five of his fellow interns at the most renowned teaching hospital in the country. A phenomenon ever since it was published, The House of God was... read more

The House of God

Prehabilitation: Preparing Patients for Surgery

The impact of surgery leads to significant homeostatic disturbance.1 The surgical stress response is characterised by catabolism and increased oxygen demand. The extent and duration of the stress response is proportionate... read more

Doctors frustrated that electronic records steal time from patients

Researchers asked doctors licensed to practice in Rhode Island the question: How does using an EHR affect your interaction with patients? They got an earful. Most who responded complained that electronic records undermined... read more

Airport CPR Training Kiosks

Three airports around the U.S. have joined an American Heart Association (AHA) initiative to provide hands-only CPR training kiosks for passengers waiting for flights. The Cleveland Hopkins International, Cincinnati/Northern... read more

Why Point-of-Care Ultrasound Should be a Mainstay in EMS

A former firefighter/EMT turned medical student describes the functional components, diagnostic uses and roadblocks of using this imaging technology. From the first enormous and hefty ultrasound scanners, circa 1965, to today's... read more

A Year at the Bedside With Osler

Ask any resident, and he or she will tell you that this oft-quoted meditation from Sir William Osler, the father of modern medicine and guiding light for many an internist, is beautiful in its language yet quaint and seemingly... read more

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

Most physicians are lagging in MACRA understanding and preparedness

A joint survey by the American Medical Association and financial firm KPMG paints a daunting picture for physicians and MACRA, with results showing that fewer than one in four physicians feel well prepared to meet its requirements... read more

Patient Safety Concerns Over New 24-hour Shift Rule for First-year Doctors

On Saturday, 30,000 first-year medical residents begin work and new rules taking effect that same day could add eight or more hours to their shifts. Doctors fresh out of medical school will be able to work for up to 24 hours... read more

Association of Attitudes Regarding Overuse of Inpatient Laboratory Testing With Health Care Provider Type

Routine hospital laboratory testing is common, and unnecessary tests can harm patients. Multiple professional societies have recommended against routine laboratory testing in hospitalized patients. Advanced practice health... read more