Discover new strategies to improve patient care, from chronic disease prevention to enhancing your diagnostic skills using precision medicine.
This article describes the author’s experience of helping a family do everything they could, even administering an unapproved drug, for their teenage daughter.
This article assesses the loss of the physical examination amid telehealth visits during the coronavirus disease 2019 pandemic.
This essay offers advice to psychiatrists and other mental health clinicians regarding working with a patient who evokes anxiety and fear in the clinician regarding their own physical safety or the safety of others.
This Viewpoint proposes that psychiatry should more closely attend to the poverty, justice system involvement, and housing issues of people with serious mental illness, supporting this view with quotes from philosophers.
This Viewpoint discusses the challenges faced by older adults with diabetes and ways to care for them during the COVID-19 pandemic.
This case-control study examines the prevalence of salvageable tissues 16 hours or more from the time the patient was last known well after ischemic stroke due to emergent large vessel occlusion and investigates the effectiveness of endovascular treatment in delayed large vessel occlusion.
In this narrative medicine essay, an internist considers the effects of the coronavirus disease 2019 pandemic on noninfected patients whose access to care may be blocked by fear, economic loss, or an overwhelmed health care system.
This systematic review and meta-analysis of randomized clinical trials compares intraoperative and postoperative outcomes of temperature-controlled surgical instruments vs electrocautery in adolescents and adults undergoing tonsillectomy.
This narrative review discusses biological and social factors associated with sex- and gender-based differences in health, health care, and disease to provide a guide for clinicians practicing precision medicine.
In this narrative medicine essay, a pediatric palliative oncologist meditates on the intersection of faith and medicine and of varying expressions of spirituality in the face of abject pain and suffering among her pediatric patients with cancer.
In this narrative medicine essay, a surgical oncologist recalls helping her mother through her treatment and death from lung cancer and tells of the lesson she brought back to her own practice from the experience that the essence of clinical care is human connection: the ability to listen to others, witness their suffering, hear their joy, and be present in their company.
In this narrative medicine essay, a resident physician shares the story of a young Haitian woman with cancer whose survival was threatened with deportation for having missed her residency application deadline and of his role in advocating for her care with US citizenship and immigration services.
In this narrative medicine essay, a retiring internist remembers the changes and challenges during his 40-year career and counts as his most rewarding moments the times his patients said that they felt listened to, respected, and supported.
This study uses systematic reviews, interviews, and an expert consensus process to identify practices that promote clinician presence and connection during patient visits: preparation and listening with intent, agreeing on what matters most, connecting with the patient’s story, and exploring emotional cues.
In the context of a Centers for Medicare & Medicaid Services proposal to simplify evaluation and management (E/M) documentation guidelines by 2021, this Viewpoint reviews the problems with current implementation of review-of-systems history taking in electronic health records (EHRs), including information overload, lack of follow-up of findings, clinical irrelevance to some patients and visits, and dishonesty in documentation.
This Medical News story examines the debate over the value of checkups for healthy individuals.
This study assesses the feasibility of using machine learning to automatically populate a review of systems of all symptoms discussed in an encounter between a patient and a clinician.
As health care costs continue to rise and health system and insurance entities undergo major changes, mistrust and tension has arisen between payers vs physicians and hospitals. This Viewpoint explains the reasons for these tensions, the perspectives of both sides, and proposed and existing solutions for transforming US health care.
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