The Ambulatory Medicine curriculum is a longitudinal, progressive educational program across the three-year residency. A portion of the curriculum is delivered during the +1 Week, across a 5-week cycle, such that each Pod receives the same and all portions of the…
The Inpatient Medicine curriculum is a longitudinal, progressive educational program that reviews evidence-based medicine in the care of hospitalized patients. There is particular emphasis on research that impacts current practice guidelines ("landmark" trials). Residents are expected to engage in the…
Two areas of the greatest healthcare expenditures and most rapid growth are diagnostic tests and imaging. Why do we over-order these tests? Think about your own decisions to order tests and view the presentation for more information. Objectives: List the…
High value care is not a distinct way of practicing medicine, but rather integrates with other aspects of contemporary practice. And thinking about medications from the perspective of high value care highlights these areas of overlap.
Sepsis continues to affect 1.5 million people and lead to 250,000 deaths in the U.S., according to the CDC. The CORTICUS study reviewed here (article below) is the landmark study evaluating the potential benefit of corticosteroids in septic patients. As…
Lung cancer continues to be the leading cause of cancer death, ahead of colorectal, breast, and prostate cancers. However, screening strategies have been comparatively limited. This landmark article demonstrates the use of low-dose CT to screen for lung cancer, and…
87% of unnecessary testing is done by physicians. But unnecessary services is just one component of the ballooning cost of healthcare in the US. Here, we illustrate the importance and context of healthcare costs and show how being cost-conscious can have an effect on how your care for patients who might require hospitalization for syncope and pneumonia.
Goals:
Influenza is still in season, and we are certainly seeing primary flu and secondary complications like pneumonia. So here’s an interesting question: does combination therapy with the addition of clarithromycin and naproxen in patients hospitalized for acute influenza have any benefit?