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From the Office of Blasphemous Iconoclasty: residents should never read journals (with the obvious exceptions of JAMA and the New England Journal of Medicine). Specialty journals are long on data and short on information. Except in review articles, most publications describe such small parts of physiology that the contents are rarely useful—in the hands of a resident—for patient care. Specialty journals use methods and techniques that are foreign to almost anyone other than those who learned such arcana during a fellowship. Asking a resident to bluff his or her way through such an article serves little purpose at best and is Brownian motion at worst. It certainly does not belong at the bedside, as the inappropriately applied therapy might cause harm. Specialty articles should be carefully and parsimoniously chosen by experts.
DiabetesTextbook of Diabetes, vols 1 & 2. JAMA. 1998;279(16):1318. doi:10.1001/jama.279.16.1318-JBK0422-5-1
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