Internal medicine, American health care, and especially medical education

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Making night float work

We must design night float systems, not to meet numbers but to optimize education and patient care.  It can be done.

Night float – a plus or a minus

I love night float; I hate night float.  Night float is a necessary evil, but make no mistake it is an evil.  And I see no alternative.

RUQ pain and abnormal labs

A 45-year-old woman with RUQ pain, elevated bilirubin, and gallbladder sludge likely has cholestasis or biliary obstruction.

More on diagnostic errors

We continue to have a health care payment system that rewards procedures – surgery, invasive cardiology, radiology, etc.

And Lemierre’s can kill

I collect newspaper articles about this disease as well as reading medical articles.  This story saddens me greatly – an ode to Justin. 

Heart failure guidelines

I would make this suggest to cardiologists and heart failure experts – understand how to help generalists learn these important concepts.