Resident burnout – not fixed

We need to look at programs that are successfully addressing burnout before we speculate on ways to decrease burnout.

The Lemierre Syndrome – 2014 survey data

Recently, 79 members of Facebook’s Lemierre’s Syndrome Survivor group (which has 813 members) answered a hastily written survey.

F. Nietzsche

There are no facts, only interpretations.

The problems with evidence

We physicians must question authority. We must all understand that science is rarely settled, rather science is always evolving.

Quality starts with diagnosis

We have politicians and administrators championing incentives to improve quality, but they are missing a key point.

Ebola in Dallas – a classic diagnostic error

All attempts at measuring quality in medicine depend on correct diagnosis. Diagnostic accuracy represents the lynchpin of high quality care. As everyone knows, the first US Ebola diagnosed patient visited an emergency department at the onset of his illness, but did not get diagnosed properly or admitted to the hospital. Few doctors would have made […]

EHRs – why good ideas do not always work

Any entrepreneur will tell you that not all their brilliant ideas work. Any researcher will tell you the same thing.

Research papers – reviewing and being reviewed

My colleagues and I hope our hours of writing, revising, looking up further references and discussing each issue will result in an excellent paper.

Interpreting the evidence is the fly in the ointment

This problem is common. The ACP Performance Measurement Committee reviews submitted measures and evaluates them in a very careful.

Get off your butt and move!

I should have separated weight and inactivity. Increasingly we are learning that movement itself has positive health benefits.