On teaching clinical reasoning – all about case conferences
We must model clinical reasoning. Patient stories provide the bones, and the discussion provides the meat.
Are useful notes in our future – the return of SOAP
I was trained to write notes like this. They are problem oriented and reveal our thought process. I can only hope we return to this style.
Teaching new interns and students – stress the basics
This time of the year, but actually at all times, make certain that the team knows the basics. We can always add in some spice as patients dictate.
How can attending physicians promote wellness?
During my time with them, I can impact their daily activities, but I can also serve as a role model of wellness.
Making efficient rounds
We now know from research that paying attention to all details need not be an attending physician responsibility.
Another guideline problem – inaccurate CV risk estimation
When the recent lipid primary prevention guideline released in 2013, I was deemed at “high risk” for CV disease.
Sore throats – #thefineprint
As the author of the Centor Score, I would like you to consider these points when seeing sore throat patients.
The danger of pronouncements in medicine
Save the money and time spent on crafting these missives and explain why our decision making is appropriately messy.
New drugs for hyperkalemia
Hyperkalemia has become a significant problem. With more type 2 Diabetes Mellitus, we are seeing an explosion of chronic kidney disease.
Syncope week – Day 2 – high-risk features
The list is not exhaustive, but very suggestive. These features require admission and careful cardiac evaluation: