Editorial

Seeking the “Why”: Moral Education in Medical Training

As a former medical student and resident and current palliative care fellow now 10 years into medical education and training, this year I received my second ever lecture on medical aid in dying (MAID). As concerning as this is given the increasing ubiquity of the practice and the consequent need…

Original Article

Physical Activity and Sedentary Time in US Adults with and without Heart Failure: 2007–2018 NHANES

Objectives: Current evidence describing physical activity (PA) and sedentary time (ST) in people with and without heart failure (HF) is limited. This study examines PA participation and ST in a nationally representative sample of US adults with and without self-reported HF. Methods: The study sample (N = 21,633) included US…

Perspectives

The Enduring Value of the VA in Health Professions Education: Medical Student Perspectives

In 2021, the US Department of Veterans Affairs (VA) celebrated a fruitful and historic 75-year partnership with academic medical centers.1 The crux of this relationship lies in the enhancement of care for veterans via the presence of academic medical faculty and trainees while simultaneously providing a robust and diverse clinical…

Original Article

Characteristics of Admissions from the Pediatric Emergency Department Observation Unit

Objective: Emergency department observation units (EDOUs) are used to manage common pediatric illnesses and reduce the admission rate to the hospital. Most of these patients require a short duration of observation before a determination can be made whether they need to be admitted to the hospital or safely discharged home….

Perspectives

Distinguishing Therapeutic Misconception from Religious Belief

In the context of early-phase clinical trials, research subjects often confuse the differences between clinical research and personal treatment. This phenomenon, known as therapeutic misconception, potentially undermines the validity of informed consent. Several interventions have been proposed to help mitigate therapeutic misconception, although few have considered the role of religious…

Original Article

A Curriculum on Advanced Topics in Hypertension for Internal Medicine Residents

Objectives: Hypertension (HTN) affects nearly half of US adults. Our multi-institutional survey revealed that Internal Medicine residents lack proficiency in advanced HTN topics. We developed a curriculum to address knowledge gaps in these topics and aimed to assess the effects of the curriculum on residents’ confidence, desire for future training,…

Posted in: Hypertension17

Perspectives

Why Is US Health Care Failing? Some Reasons Are Obvious, but Fixes Are Harder

Having sufficient healthcare personnel available has always been an issue; however, recently, shortages have become a bigger problem. Even before the coronavirus disease 2019 pandemic disruptions, there was already a shortage of more than 91,000 physicians in the United States.1 There are not enough clinically available doctors accessible for our…

Perspectives

Intimate Partner Violence: Physicians Must Address Physical and Mental Health Harms

Physicians have a professional obligation to screen women for intimate partner violence (IPV), refer those who screen positive to community services, and arrange follow-up visits. When women screen positive for IPV, they should also be screened for mental health harms. The American Medical Association Code of Medical Ethics calls on…

Original Article

Diagnosis of Gout as a Correlative Risk for Acute Myocardial Infarction in the Absence of Traditional Cardiovascular Risk Factors

Objectives: We aimed to study the impact of gout as a correlative risk factor in the incidence of acute myocardial infarction (AMI) among patients without known MI risk factors. Our study population was obtained from the National Inpatient Sample (NIS) 2011–2018 using the International Classification of Diseases, Ninth and Tenth…

Posted in: Rheumatology and Orthopedics19

Original Article

Preservation of Muscle during Treatment for Obesity in Adults with Intellectual Disabilities

Objectives: Adults with intellectual disabilities will frequently experience sedentary behavior and excessive weight, which may cause or exacerbate a multitude of medical and behavioral problems. This study examined a program to encourage increased activity and weight loss in an outpatient service for adults with intellectual disabilities. Methods: Behavioral methods were…

Original Article

Upper Extremity Deep Vein Thrombosis: Incidence, Risk Factors, and Effectiveness of Chemoprophylaxis

Objectives: Upper extremity deep vein thrombosis (UEDVT) is associated with pulmonary embolism and other complications, but there are no recommendations for UEDVT prophylaxis. The purpose of this study was to establish incidence and risk factors for UEDVT and to determine efficacy of pharmacologic prophylaxis for UEDVT prevention. Methods: For this…

Posted in: Pulmonary Disease16

Original Article

Quantifying Efficacy of Video Interventions about Adverse Events in Medical Student Education

Objectives: The coronavirus disease 2019 pandemic catalyzed a rapid shift toward remote learning in medicine. This study hypothesized that using videos on adverse events and patient safety event reporting systems could enhance education and motivation among healthcare professionals, leading to improved performance on quizzes compared with those exposed to standard,…

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