The role of an anesthesiologist during surgery is not solely to make the patient more comfortable: if a patient becomes hemodynamically unstable, the anesthesiologist is required to administer CPR — sometimes against a patient's wishes.
Although substantial emphasis is placed on vaccinations in considering how to limit the spread of influenza, simple hygienic methods have been found to be the most effective and should be more widely supported.
Of various interventions used in nonclinical settings for the prevention of childhood overweight and obesity, school-based programs that combine nutrition and exercise and include a home-based component appear to be the most effective approaches.
Malpractice liability reform would best be analyzed on a specialty-by-specialty basis.
Parkinsonism syndromes are associated with progressive disability and increased mortality, with symptom burden comparable to that of advanced cancer.
Customer service is a critical part of every physician's job, but there's a big difference between a Yelp review and a risk-adjusted mortality rate in determining
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"Flow" is dependent on reaching a number of optimal conditions, including intense concentration and loss of self-consciousness. So why don't surgeons feel the flow?
While ICD-10-CM may be an improvement on an old process, big data is the revolution that has the potential to change health care forever.
The Goldwater Rule has proven remarkably resilient and has not been seriously challenged for half a century — until now.
Mobile and digital technologies represent a valuable method for gathering real-world patient data at multiple timepoints.
Belgium and the Netherlands currently allow variations on pediatric euthanasia, stoking the worldwide debate surrounding the practice.
Women continue to propel medicine into the future. Take a glimpse at just a handful of the remarkable women in medicine making history today.
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Even when presuming that there is a "right to test," concerns arise that patients will be misguided in their decisions based on poorly validated direct to consumer genetic tests.
The concept of conscientious objection has been appropriated by health care professionals who refuse to perform certain tasks related to female reproductive health.
Torture has always had its place as a two-faced mythical creature in American society, but no neuroscientific backing for the practice exists.
Since Gerry FitzGerald's suicide 80 years ago, physician suicide has become a staggering public health crisis that's gone largely ignored.
When Hard Cases Make Bad Law: Evidence-Based Recommendations vs Legal Precedence for Resuscitation of Premature Infants
The decision to resuscitate an extremely premature newborn is governed by a patchwork of state-level laws that are not necessarily grounded in evidence-based medicine.
An expert discusses how the shifting public view of sexual harassment is affecting the nation.
Compassion fatigue affects workers across the spectrum of helping professions, and is extremely prevalent among physicians.
Additional studies are needed to assess the use of telehealth in urgent and primary care triage, teledermatology, and the management of serious pediatric conditions.
Research suggests that the growing number of tasks required by EHRs can compromise patient encounters.
Researchers from NIH's National Institute of Allergy and Infectious Diseases aimed to develop a universal influenza vaccine that would confer better and longer-lasting protection against the influenza virus.
Recent revisions to the Common Rule deal largely with improving transparency of informed consent while introducing a new concept of "broad consent" that can expand the reach of research.
One of the major pitfalls of concierge medicine is that physicians must limit their practice to guarantee the accessibility offered by the model in exchange for the retainer.
The National Vaccine Advisory Committee has highlighted 5 core concepts and strategies that can increase integration of social psychological components with health communication principles to improve the perceived benefits of adult vaccination.
Machine learning programs are accurate and intelligible, but what are the potential pitfalls of using them in a clinical setting?
While some support physician participation in lethal injection, others view it as a clear violation of the Hippocratic Oath.
David Himmelstein, MD, FACP, shares his insight on healthcare inequality in the United States, along with what he says is the only solution.
A recent study points to the potential global spread of vector-borne diseases due to global warming.
Opioid prescriptions should be tailored based on risk factors that correlate with future addiction rates and the pertinent outcome markers, but this information is still lacking.
No formal mechanisms exist in to require cessation of driving for reasons associated with dementia, so the treating neurologist is often relied upon to initiate discussions of driving.
The most pressing issues with respect to racial disparities reside in the medical system, rather than the patient.
The HIV Medicine Association of the Infectious Diseases Society of America has released new guidelines chronic pain management in patients with HIV.
Recent research has suggested that patent foramen ovale closure surgery might be a preventive measure against future migraine attacks.
Increasing temperatures and changing frequency of floods, droughts, heatwaves, and storms have direct effects on physical and mental health.
Karen Broquet, MD, MHPE, of the Southern Illinois University School of Medicine, discusses how clinicians can navigate interactions with challenging patients.
Recent data show incredible variation in C-section rates from country to country.
The Centers for Medicare & Medicaid Services issued a final rule that could result in steep payment reductions for physicians of certain specialties in 2018.
Mental health assessments may be a helpful aspect to the presport evaluation if those in need have access to care.
Keith Humphreys, PhD, who served as senior policy advisor at the White House Office of National Drug Control Policy in the Obama Administration, shared his views on the opioid epidemic.
The need for data transparency carries an ethical and moral obligation and requires nonselective and unbiased publication of clinical results.
Researchers are examining theories on the interplay between the GI tract and the brain.
One of the most promising avenues of research is the concept of hypoxic conditioning, or ischemic preconditioning, in which brief periods of oxygen deprivation to the brain have been shown to provide neuroprotective effects that reduce stroke infarct size and improve recovery times.
Palliative and hospice care play an important role in the long-term management of Hungtington disease, including ongoing symptom relief measures, caregiver support, and end-of-life care.
Findings from animal studies indicate that general anesthesia may be neurotoxic and could result in long-term central nervous system alterations and cognitive dysfunction, particularly in very young or elderly patients
Although there has been growing awareness of physician burnout in recent years, the problem has continued to increase.
This review analyzed mammography screening guidelines from US organizations to understand best practices in an effort to minimize the morbidity and mortality of breast cancer.
Overcrowding in the emergency department is a complex multifactorial problem borne of a fundamental supply-and-demand mismatch.
Hiring a manager to assist with handling the responsibilities of running a medical practice can be beneficial, but there are a few factors to consider before deciding to do so.
Restricted-calorie diets and increased exercise regimens produce an extremely wide range of weight loss outcomes, making glucomannan supplements seem like an attractive option for weight loss.
According to the Protenus Breach Barometer, which provides a monthly report of disclosed health care breaches, an average of 1 breach occurs every day. The main offender behind these breaches - now accounting for more than half of all reported breaches and 95% of total stolen records - is hackers.
It is a common practice for young athletes to undergo some type of preparticipation screening to detect factors associated with a high risk for injury or death, but this screening process has yet to be standardized.
One physician shares his insights on how repeated active discussions with patients about distress, treatment options, and goals can both reduce costs and help to identify when aggressive treatment is no longer appropriate.
Authors of recent position papers provide their opinion on the legalization of physician assisted suicide.
Steven Pritzker PhD, coeditor-in-chief of The Encyclopedia of Creativity, discusses how physicians can utilize creativity in health care.
Exploring the pathophysiology of lying and the patients who lie.
Co-prescribing naloxone with any opioid is recommended for patients that are at a high-risk for overdose.
There have been concerns regarding a potentially negative impact on physician-patient relationships.
The persistence of medical tourism speaks to capacity and resource-utilization concerns that Canada's single-payer system has been unable to effectively address.
Physicians must remember that they will be a business owner in addition to being a health care provider.
Virtual reality has become much more than just a new form of entertainment; it is increasingly being used in a wide range of medical applications.
There's no reason why something as critical as making sure that our surgeons are competent should be left to chance.
Dan's story and the story most young surgeons have both start with the same simple premise: the more you practice something, the better you get.
Health care providers do not necessarily have to meet every HIPAA standard.
Partnering with an organization is a practice option that may provide many multifaceted benefits.
Thriving in this new healthcare environment demands both significant capital investment and the ability to navigate increasingly complex reporting requirements and financial arrangements.
The key to a successful physician-patient relationship, in my opinion, is to recognize that the patient is not the disease being treated.
Five potentially pivotal issues physicians should understand about MACRA.
In a medical marketplace that is increasingly dominated by consumerism, concierge medicine gives many patients an attractive alternative to accessing health services.
No strategies are perfect for completely protecting hospital systems from ransomware attacks, but following best practices is key for prevention and protection.
Terminally ill people with HIV have few opportunities to participate in research, but some leave a final gift to their community.
An endocrinologist gives his insights on the benefits of using video with medical students.
The World Health Organization published new guidelines for managing HIV drug resistance in countries in which pretreatment HIVDR to NNRTIs is prevalent.
Smartphone addiction is increasingly recognized as a type of behavioral addiction, and recent research has identified criteria that help establish a diagnosis.
It really shouldn't take a jarring New Yorker piece to make the opioid epidemic, or my role in it, real.
Most of these cases have been associated with drinking a large volume of energy drinks, and thus, individuals who regularly consume energy drinks should be advised to use them in moderation.
With continued evaluation and adaptation, ACOs promise to provide sustainable reform of healthcare costs and management for the future.
The law surrounding informed consent has evolved from asking what a reasonable surgeon would have disclosed to focusing on what a reasonable patient would have wanted to know.
Rare diagnoses deserve our attention, too, and we'd do well not to rule them out as fantastical or impossible.
There is a sure-fire way for us to gain an upper hand with the flu virus, though. It's simple: get more people vaccinated.
The HEART score has again been shown to be a safe risk-stratification tool for chest pain, but it does not seem to do much for reducing hospital utilization and admissions.
There's no doubt that drugged driving is a growing problem, and one that, coincidentally or not, dovetails with expanding decriminalization of marijuana around the country.
Informed decisions that would allow safe, controlled and efficient organ donations in the absence of a declaration of brain or cardiac death remains a complete nonstarter.
Consumption of higher glycemic index foods has been shown to be associated with increased rates of diabetes, obesity, cancer and all-cause mortality.
We have data suggesting that patients with established coronary disease who have wide fluctuations in weight have a significantly higher risk for adverse cardiovascular outcomes.
Rape has been linked with the strongest risk for PTSD in both women and men.
As physicians, it may be more prudent to recommend physical therapy for pain relief whenever possible and to suggest exploring alternative therapeutic modalities.
Dr Sara Gianella talks with Brooke Sullivan, a transgender woman and HIV activist, about ways to improve transgender individuals' involvement in HIV research.
Dr Sara Gianella talks with Dr Sheldon Morris, from the University of California San Diego AntiViral Research Center about an upcoming PrEP study in transgender people.
Why is maternal mortality increasing in the US? Like most complicated issues, there is no simple answer.
Republicans are not looking at the problems with the ACA, nor are they trying to find real solutions. The only Americans they seem to serve are those who need the ACA the least.
Republicans have capitalized on the misunderstood concept that the ACA is responsible for their health premiums going up and misleading voters to turn them against the ACA.
Medical groups may need to address such issues as claims denials and failure to obtain prior authorization.
Two recent acts of Congress pose serious threats to national infectious disease health initiatives.
Despite the increase in coverage under the ACA, data suggest Medicaid patients often had increased wait times for appointments to see healthcare providers.
The development of new device technologies points to the need for new strategies to monitor their continuing safety and efficacy.
Nearly 15% of all gay men report dealing with anorexia or bulimia during their lifetime.