Commentary: INR instability in the NOAC era

Progress in the development of new oral anticoagulants (NOACs), as well as agents for their reversal, has lowered the threshold to use these therapeutics as first line agents for the management of nonvalvular atrial fibrillation and venous thromboembolism.1,2 Despite this…
Law & Medicine: Which doctors get sued?

Question: Doctors are more prone to lawsuits if they: A. Have been sued before. B. Spend fewer dollars per hospitalized patient. C. Show poor communication skills. D. A and C only. E. A, B, and C. Answer: E. Two very…
Analysis finds 28.8% prevalence of depression in residents

The estimated prevalence of depression or depressive symptoms was 28.8% among residents and interns worldwide in a meta-analysis of 54 studies of the issue, according to a report published online December 8 in JAMA. The depression rate ranged from 20.9%…
Medicare at 50: Physicians brace for transition to value-based payment

As Medicare celebrates its 50th anniversary, federal officials are beginning one of the most significant shifts in the program’s history – paying physicians based on quality and efficiency rather than for the volume of services they provide. The shift to…
Reduced resident duty hours haven’t changed patient outcomes

Patient mortality and morbidity outcomes have not changed since the most recent round of reforms to medical residents’ duty hours in 2011, according to two of the first nationwide studies to assess these “improvements,” which both were published online Dec.…

