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Volume: 110, February 2017

Resident and Faculty Perceptions of Chart-Stimulated Recall

Stephen R. Holt, MD, MS, Andre N. Sofair, MD, MPH

Abstract: Objectives: Chart-stimulated recall (CSR) is a case-based interviewing technique advocated by the Accreditation Council for Graduate Medical Education as an assessment tool across a variety of clinical competencies, yet resident and faculty perceptions of this exercise have...
Volume: 110, February 2017

Predictors of the Need for Therapeutic Intervention in Older Adult Patients With a Nonvariceal Gastrointestinal Bleed

Khalid Abusaada, MD, Xiaoping He, MD, Fnu Asad-Ur-Rahman, MD, Umair Majeed, MD, Evgeny Idrisov, MD, Sameen Khalid, MD, Xiang Zhu, MS, Vladimir Pech, MD, George Everett, MD

Abstract: Objective: Gastrointestinal bleeding (GIB) is a common cause of hospitalization in the older adult population. The aim of the study was to identify factors that are associated with the need for a therapeutic intervention in patients older than 65 years with nonvariceal...
Volume: 110, February 2017

Breaking Bad Delirium: Methamphetamine and Boric Acid Toxicity with Hallucinations and Pseudosepsis

Kayla Johnson, PharmD, Joanna L. Stollings, PharmD, FCCM, FCCP, E. Wesley Ely, MD, MPH, FCCM

Abstract: Objectives: A 30-year-old patient presented with hallucinations and profound shock. He was initially misdiagnosed as having severe sepsis; once ingestions were considered, he was diagnosed as potentially having arsenic toxicity. Summary: The clinical story reveals many...
Volume: 110, February 2017

Factors Associated with Routine Recommendation of Mammography for Women Aged 40–49: Provider Characteristics and Screening Influences

Kathryn A. Martinez, PhD, MPH, Abhishek Deshpande, MD, PhD, Allison L. Ruff, MD, Shari D. Bolen, MD, MPH, Kathryn Teng, MD, Michael B. Rothberg, MD, MPH

Abstract: Objectives: Despite the US Preventive Services Task Force recommendation against screening mammography in women younger than 50 years, rates remain high, suggesting that screening recommendations may be motivated by other factors. The objective of this study was to...
Volume: 110, February 2017

Planning for the Next Epidemic

Neil J. Nusbaum, JD, MD

Abstract: Recent American public health concerns have included two emerging viral infection threats, zika and Ebola, and the recrudescence of the measles virus. Zika confirms the opinion that even when a disease vector, such as a mosquito, for a viral disease is well defined, it may...