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Research Impact Part 2: Whole New System
This is a 3 part blog series. Research Impact Part 1: Moving Away from tracking authors’ articles. I am not going to mentioned the company we went with.  The primary reason for this is because I am trying to write this as broadly as possible so that it applies to anybody who is considering this type of endeavor, not the nitty gritty of a specific software.  While there is always room for improvement I am happy with what we chose and I am very happy with the support we have received upon implementing it.  If you are interested in learning more about the specific products we chose, email me and I will answer those q...
Source: The Krafty Librarian - May 18, 2017 Category: Databases & Libraries Authors: KraftyLibrarian Tags: Uncategorized Source Type: blogs

Bob Wachter ’ s 2017 Penn Med Commencement Address “ Go to Radiology ”
By ROBERT WACHTER, MD Dean Jameson, Trustees, Faculty, Family and Friends, and most of all, Graduates of the Class of 2017: Standing before you on this wonderful day, seeing all the proud parents and significant others, I can’t help but think about my father. My dad didn’t go to college; he joined the Air Force right after high school, then entered the family business, which manufactured women’s clothing. He did reasonably well, and my folks ended up moving to a New York City suburb, where I grew up. There were a lot of professionals in the neighborhood, but my dad admired the doctors the most. He was even a little e...
Source: The Health Care Blog - May 17, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Penn Radiology Robert Wachter Speeches UCSF Source Type: blogs

An open letter to Psychological Medicine, again!
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.” In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following: *In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were so lax ...
Source: virology blog - March 23, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs

An open letter to Psychological Medicine about “ recovery ” and the PACE trial
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.” In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following: *In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were...
Source: virology blog - March 13, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs

Say You ’ re Sorry, Donald
By GEOFFREY RUBIN, MD I’ve never met Dr. Suha Abushamma or Dr. Kamal Fadlalla.  But of all the frustrating stories circulating since President Trump issued an executive order barring immigrants from several predominantly Muslim countries, their travails hit closest to home.  Both Suha and Kamal are internal medicine resident physicians. From Cleveland Clinic and Brooklyn Interfaith Medical Center, respectively. Like me, they have endured the rigorous calling that is American medical training, including not only graduation from medical school, but also the completion of four board exams, a vigorous interview process, a...
Source: The Health Care Blog - February 14, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

December 2016 Disruptive Women in Health Care Man of the Month – Connor Landgraf
Universities everywhere would do well to utilize Disruptive Women’s December Man of the Month Connor Landgraf in marketing campaigns, making the point that a single moment in a classroom can change the world.  Landgraf, at age 26, is the co-founder and CEO of Eko Devices, a start-up he created with two fellow graduates of the University of California, Berkeley.  Eko’s first product, the Eko Core, was named by TIME Magazine as one of 2015’s top inventions and he and his colleagues were selected by Forbes for its “30 Under 30” list of the brightest young stars in 15 different fields of endeavor. For Landgraf, the...
Source: Disruptive Women in Health Care - December 12, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Man of the Month Source Type: blogs

Syncope Several Times, Complete Heart Block, And a Surprise ECG in the ED!
This was sent by one of our graduates who will remain anonymous.A 55 year old male with a history of DM and HTN had 2 syncopal episodes, then a third while in the presence of EMS. There was no drug use.ECG 1. He was put on the monitor and it showed this:There is a slow, wide complex. There are P-waves that are regular but completely dissociated from the QRS. In fact, they don ' t ever conduct.So it is third degree heart block with a ventricular escape.ECG 2. Within minutes, his heart rate normalized:Normal sinus rhythm, diffuse non-specific T-wave inversionECG 3. He had no complaints on arrival to the ED. Th...
Source: Dr. Smith's ECG Blog - December 6, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs

Research and Reviews in the Fastlane 144
Welcome to the 144th edition of Research and Reviews in the Fastlane. R&R in the Fastlane is a free resource that harnesses the power of social media to allow some of the best and brightest emergency medicine and critical care clinicians from all over the world tell us what they think is worth reading from the published literature. This edition contains 6 recommended reads. The R&R Editorial Team includes Jeremy Fried, Nudrat Rashid, Soren Rudolph, Justin Morgenstern, Anand Swaminathan and, of course, Chris Nickson. Find more R&R in the Fastlane reviews in the R&R Archive, read more about the R&R ...
Source: Life in the Fast Lane - July 28, 2016 Category: Emergency Medicine Authors: Jeremy Fried Tags: Cardiology Education Intensive Care Neurology R&R in the FASTLANE EBM Emergency Medicine literature recommendations research and reviews Source Type: blogs

Dialog: Doubling Down on Dropping Out
Dr. Wible and her young colleague have responded to my previous post: [Cross posting with her comment section, to share the clicky love as we continue the dialogue] A few corrections to your blog Lucy: 1) I do NOT have a subscription practice. I see all-comers and I take insurance. 2) I have never turned anyone away for lack of money. I don’t believe in a two-tiered health care model. 3) Diet and nutrition is not woo (and is certainly not taught in med school). There are HUGE problems with allopathic medicine which does not prepare us to care for patients in an outpatient setting when it comes to prevention, lifestyle, a...
Source: Musings of a Dinosaur - June 10, 2016 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs

The white coat doesn’t mean much anymore
I’ll just start this off by saying that I am not exactly sure where I stand on the white coat thing. One part of me loves the white coat as a symbol, a shield against disease, and a place with pockets to put my things; and then there are other days when I just want to throw that germ-ridden cotton barrier to the doctor-patient relationship in the trash, roll up my sleeves, and just do my job without all the pomp and circumstance of an impractically-long white coat. Yes, I can opine on the history and merits of the long white coat, and then turn around and make a perfectly valid argument for why we should ditch the thi...
Source: Kevin, M.D. - Medical Weblog - May 6, 2016 Category: Journals (General) Authors: Tags: Education Medical school Source Type: blogs

Access to healthcare does not deliver health
Stanford economist Raj Chetty and coworkers published an important paper in the Journal of the American Medical Association this week. It’s free. They looked at the association between income and longevity in the US. The results will disrupt a lot of what you might have thought about healthcare. The first finding was not surprising: higher income associated with longer life. The differences were immense–almost 15 years from lowest to highest income for men. The second finding was that inequality in life expectancy increased over time. Between 2001 and 2014, life expectancy increased by 2.34 years for men and ...
Source: Dr John M - April 11, 2016 Category: Cardiology Authors: Dr John Source Type: blogs

Sexism in Medical Education
The medical school professor stands affront  a group of first year students in a mid-size auditorium. “I need a go-to guy,” he says, “someone to direct my questions towards.” He scans the room. “I’ve never actually had a go-to girl, before,” he admits. Later in the lecture, he makes a joke at a male student’s expense. “I joke!” he laughs. “Usually I don’t pick on the girls of the class – they can be too emotional – its true! My wife tells me it’s true.” During an exercise aimed at discussing issues of public health, the facilit...
Source: Disruptive Women in Health Care - February 10, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Health Professions Source Type: blogs

Rupture of Aneurysm of the Sinus of Valsalva Presenting as Cardiogenic Shock and Severe Ischemia
This was sent by Nick Jubert, MD, one of our fine EM residency graduates who works at a facility without a cath lab, so has to transfer patients who need a cardiac cath:Steve, Really interesting case I saw this morning, thought I’d send it your way. CaseA 60 year old female with a history of HTN, DM, hyperlipidemia presented via EMS with crushing central chest pain radiating to her neck, 7/10. Here is the EMS EKG: There is RBBB, with ST elevation in aVR and V1, and diffuse, marked, ST depression in I, II, aVF, aVL and V3-V6. This is severe subendocardial ischemia.I immediately activated the cath lab given c...
Source: Dr. Smith's ECG Blog - January 11, 2016 Category: Cardiology Authors: Steve Smith Source Type: blogs

A Radical Policy Proposal: Go Easy On Older Docs
By DIANE EVANS Through Dec. 15, federal regulators will accept public comments on the next set of rules that will shape the future of medicine in the transition to a super information highway for Electronic Health Records (EHRs).  For health providers, this is a time to speak out. One idea:  Why not suggest options to give leniency to older doctors struggling with the shift to technology late in their careers? By the government’s own estimate,in a report on A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure, a fully functioning EHR system, for the cross-sharing of health records among providers, ...
Source: The Health Care Blog - November 23, 2015 Category: Consumer Health News Authors: Simon Nath Tags: THCB Diane Evans Source Type: blogs