DB'S MEDICAL RANTS

Internal medicine, American health care, and especially medical education

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The P4P debate

The con side is well done, however, it does miss a major point.  Performance is too complex to summarize in measures.

Time to redesign residencies

Once upon a time (actually when I did my residency), we worked long hours, were taught well and learned from our patients.

Q&A VI

The message argues for revisiting the 1994 Dietary Supplement Act to prevent marketing unsafe supplements.

Paraneoplastic antibody screening

That definition is very helpful because some of the screening panels also provide results that might come from an auto-immune condition.