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.

What the heck is medical credit scoring?

Has anyone heard of this positively or negatively?  Robert Berner would love to talk to anyone who is familiar with this phenomenon.

RUQ pain and abnormal labs

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

Atrial fibrillation – stick with rate control

I guess rate control for atrial fibrillation has become so standard that this article does not shock anyone.

Is outpatient internal medicine dead?

We need more “combo” types – those who are comfortable and competent in both inpatient and outpatient medicine.

More on diagnostic errors

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

In which advocates rethink performance indicators

Yesterday, the NEJM released several important articles which challenge blood sugar tight control as a means of decreasing complications.

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.