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Editor's Correspondence
July 12, 2010

The Impact of a Standardized Curriculum on Reducing Thoracentesis-Induced Pneumothorax—Reply

Author Affiliations

Author Affiliations: Renal Section, Department of Medicine, Boston University Medical Center, Boston, Massachusetts (Dr Gordon); Interventional Pulmonology, Department of Medicine, The Johns Hopkins Hospital, Baltimore, Maryland (Dr Feller-Kopman); Center for Clinical Evidence Synthesis, Tufts Medical Center, Boston (Dr Balk); and Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston (Dr Smetana).

Arch Intern Med. 2010;170(13):1176-1177. doi:10.1001/archinternmed.2010.218

In reply

We appreciate the comments of Lenchus et al regarding our article.1 We agree that our findings of lower pneumothorax rates with ultrasonography guidance and more experienced operators may support the concept of a medical procedure service to improve patient safety. Medical procedure services have improved house officer comfort2 and reduced complication rates for thoracentesis and other procedures.3,4

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