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Residents performing surgery: Why can’t we reach a middle ground?

A comparison of appendectomy outcomes for senior general surgeons and general surgery residents revealed no significant differences in early and late complication rates, use of diagnostic imaging, time from emergency department to operating...Show More Summary

A physician broke down walls, or so she thought

I woke up at 6 a.m. to my daughter’s annoyingly, loud alarm. Since I was on call, my first reflex was to look at my iPad to see if I had patients in labor. I am part of an 11 doctor call group, so when I am on call, I cover all the patients of […]

WannaCry Webinar Re-Broadcast

Chris Saah CEO of TecFac (Technology Facilitators) joined Carlos Leyva and the team for a discussion of the recent the ransomware attack and how to prevent ransomware from penetrating your organization in addition to discussing HHS' methodology implications. Show More Summary

Dabigatran versus warfarin and the risk of AKI

p { margin-bottom: 0.1in; line-height: 120%; }a:link { } From a recent paper: Background Whether dabigatran is associated with a lower risk of acute kidney injury (AKI) in patients with nonvalvular atrial fibrillation (NVAF) remains unknown. Objectives The authors compared the risk of AKI in Asians with NVAF who were prescribed dabigatran versus warfarin.

The future of CME

p { margin-bottom: 0.1in; line-height: 120%; }a:link { } A NEJM Perspective piece on this topic opened with: The point at which a clinician takes ownership of his or her own learning agenda is a pivotal moment in professional growth. That sentence drew me into the article. The author, Graham T. McMahon MD believes there is a point in professional development where

Building Unity Farm Sanctuary - 4th week of May 2017

Spring’s warmth and rain is accelerating our plant and mushroom growth such that every day is a balance between agricultural management and sanctuary development activities like trail building as pictured below. The stone bridge you see was built in the early 1800's. Show More Summary

5 Lessons Learned From The WannaCry Ransomware Attacks for Hospitals

  Editor’s Note: Richard Sullivan is chief government and revenue officer for Medsphere Systems Corporation, the solution provider for the OpenVista electronic health record. Will information technology ever realize an imagined future...Show More Summary

ERT & Orbita Collaborate to Optimize Data Capture via Amazon Echo-based Voice Assistants

  Orbita, Inc., a leading provider of voice-first software for connected home healthcare announced today a collaboration with ERT to research innovative new approaches to data procurement and management for pharmaceutical and device customers seeking to streamline clinical trials. Show More Summary

Patients appreciate our honest concern. And that takes time.

When we walked into the room, you could sense the anger and frustration on the patient’s face, as well as two other relatives in the room. We knew that the patient had had lung cancer for several months and had failed radiation and chemotherapy. He had labored breathing and looked miserable. I went to his […]

You’re wrong. Pain is not a vital sign.

After years of exaggeration, misinformation and a national epidemic of opioid and heroin abuse, the nation is finally coming to terms with the fact that pain is not the fifth vital sign. This heresy, as I understand it, has existed for close to three decades and, in my opinion, has been directly responsible for the […]

Manual Standing Wheelchair Lets Users Control It Whether Sitting or Upright

The Shirley Ryan AbilityLab (formerly the Rehabilitation Institute of Chicago) has developed a new wheelchair that allows its users to switch between a sitting and standing positions while retaining the ability to move and steer the chair in any direction. The fully mechanical device uses bicycle chains to transfer power from a tank tread-like push […]

Why Interviewing Fails

Job interviews often fail to result in good hiring decisions. That is the finding of a recent analysis published on Bloomberg.com. Human Resources professionals and hiring managers frequently emphasize in-person interviews, so you might wonder why they actually waste time.

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.

May 25, 2017 Edition.Nothing this week but Trump and his travails after really seeming to be not really clear how a President should behave and seemingly being rather too friendly with the Russians. The most interesting thing in the next few weeks with the testimony from the fired FBI director. Show More Summary

A Useful Analysis Of The Health Data Re-Identification Issue. Great Read.

This appeared a few days ago:Health Data Governance: Re-identification of health records PwC Australia Australia, USA May 11 2017 Australian governments have long recognised the potential of big data, which can provide the depth of insight...Show More Summary

OPDP Sends First Letter of 2017

To put it mildly, enforcement by the Office of Prescription Drug Promotion (OPDP) has been lagging. Warning and Untitled letters from this office numbered in the triple digits twenty years ago. In the past three years, it did not break … Continue reading ?

Open Season on Health Privacy in Washington DC

By ADRIAN GROPPER, MD With Senate bill S.3530, data brokers would remove the last shreds of transparency and control that patients still have over our health data and drive healthcare costs even higher in the process. Will hospitals and the pharmaceutical industry go along? It’s been 17 years since patients lost control over how our

How big data will shape the future of medicine

In any educational environment, there’s a set of buzzwords that create a common vocabulary. Medical students constantly hear about “bench-to-bedside research,” “evidence-based medicine,” and “compassionate care.” Meanwhile, businessShow More Summary

Viewpoint article in JAMA issue devoted to conflicts of interest

p { margin-bottom: 0.1in; line-height: 120%; }a:link { } The article is available here as free full text. Here are a few points of interest. Early on in the piece the author, Harvey V. Fineberg, MD, PhD, says: An individual’s conflict of interest is not tantamount to saying her or his judgment is affected, nor does it constitute an accusation of bias or prejudgment.

The Delta of Discomfort and the Agony of Despair

I’m a radiologist. I spend my day looking at CT scans and MRI scans. When it’s a good day, I have interesting scans to review, but much of my work is not too dissimilar from a TSA screener’s. One normal scan after the next, it’s akin to trying to stay alert so that the gun

FDA Panel Votes 12 To 4 to Approve Puma’s Breast Cancer Drug

A panel of experts convened by the Food and Drug Administration says that a drug for breast cancer developed by Puma Biotechnology should be approved, but argued for more limits on which women should get the medicine.

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