Explore this JAMA Internal Medicine series intended to educate medical trainees about the harms that result from overuse of health services.
This Teachable Moment discusses drug-drug interactions with nirmatrelvir and ritonavir (Paxlovid) treatment for COVID-19 and considerations when prescribing.
This Teachable Moment discusses time-limited trials, “an agreement between clinicians and a patient/family to use certain medical therapies over a defined period to see if the patient improves or deteriorates according to agreed-on clinical outcomes.”
This Teachable Moment describes a man in his 70s with stage III colon cancer who presented with sensory symptoms after undergoing chemotherapy and was diagnosed with chemotherapy-induced peripheral neuropathy.
This Teachable Moment describes treatment plans that reduce the frequency of finger stick blood glucose checks for patients with type 2 diabetes.
This Teachable Moment describes a man in his 70s with coronary artery disease who presented to the emergency department with fever and chills and was diagnosed with Clostridium difficile infection.
This teachable moment discusses issues surrounding the use of restraint in patients with delirium in the intensive care unit.
This Teachable Moment describes a 66-year-old woman with metastatic non–small cell lung cancer who was referred to the pleural clinic for a recurrent malignant pleural effusion.
This Teachable Moment describes why patients with unexplained gastrointestinal symptoms should be asked about cannabis use and how considering a diagnosis of cannabis hyperemesis and withdrawal may avoid recurrent emergency visits, imaging, and hospital admissions.
This Teachable Moment describes ways to handle biased behavior from patients.
This Teachable Moment discusses the role of cardiac stress testing in patients who are undergoing total hip or knee arthroplasty.
This Teachable Moment illustrates the repercussions of misinterpreted drug testing results and advocates for reconsideration of routine urine drug screening in the absence of other indicators of relapse.
This Teachable Moment describes the lack of appropriate treatment for osteoporosis after a patient’s initial fragility fracture, which unnecessarily increases the common, costly, and morbid risks of refracture.
This Teachable Moment discusses the prevalence of and recommended diagnostic testing for seronegative chronic hepatitis C virus infections.
This Teachable Moment examines electronic prescription programs used within electronic health records and pharmacy systems.
This Teachable Moment considers the psychological distress that anorexia and/or cachexia leads to in caregivers and patients with advanced illness, and how clinicians can help without using pharmacologic management.
This Teachable Moment describes a man with supraventricular tachycardia who underwent troponin testing.
This Teachable Moment considers the routine insertion of peripheral intravenous catheters in hospital patients given that the harms sometimes outweigh the benefits.
This Teachable Moment explores the issues associated with high-deductible insurance plans when a patient delayed diagnosis and treatment because of financial concerns.
This Teachable Moment describes the necessity for clinician familiarity with insulin pumps because of their increased use among patients with type 1 diabetes.
This Teachable Moment discusses the experience of a 76-year-old patient with a fractured hip and a history of repeated falls and considers missed opportunities to recommend fall prevention interventions.
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