Monday, June 15, 2009
Grand Rounds at ACP Internist
Welcome to Grand Rounds at ACP Internist, a newspaper serving internal medicine. We're paying tribute to the daily newspaper. Read on for the latest headlines, opinions, features and even the funnies.
Click on "More" to read the full post.
Headline News
Rx for health care: good medicine
By See First Blog
Evan Falchuk joins the chorus of comments that have arisen about Atul Gawande, MD's, influential New Yorker article on the U.S. health care system. Unfortunately, most readers are missing the most important point, "that we need to put good medicine back at the center of health care."
For health care reform, keep it simple
By Colorado Health Insurance Insider
Sen. Ted Kennedy's health care reform bill includes good ideas but attempts to do too much.
Opinions
For best care, doctors must keep the whole patient in mind
By Not My Second Opinion
A family medicine doctor provides clarity for a confused patient whose dizziness led her to see several specialists--and get several diagnoses. To prevent such situations and fix our broken healthcare system, doctors need to start treating the whole patient.
Even evidence-based medicine has its exceptions
By The Jobbing Doctor
Of course, doctors should practice evidence-based medicine. But they should know when it's time to break the rules, as well, a 30-year veteran writes.
Predicting the shape of health care reform
By ACP Advocate
Potential consensus legislation could include higher Medicare payments for primary care physicians but might be "too little, too late."
When it comes to diabetes, misinformation abounds
By Six Until Me
Kerri Sparling writes about some of the most common diabetes misconceptions and stereotypes she's encountered in the 22 years since her diagnosis.
Letter to the editor
Duncan Cross responds to a Wall Street Journal editorial that holds patients responsible for health care costs by suggesting the members of its editorial board either have perfect health or a virulent strain of contagious rectocephaly.
Medicine
Insight into asthma
By Allergy Notes
Allergy Notes highlights some intriguing research on how Leukotriene B(4)-BLT1 axis may contribute to airway remodeling in asthma.
Some evidence isn't ready for practice
By Laika's Medliblog
There is a lot of talk in medical circles about bridging the gap between evidence and practice, but even the gold standard randomized controlled trial doesn't always give useful answers.
Finance
Factor patients into the health care cost equation
By Marianas Eye
David Khorram discusses the ways in which patients' behavior can drive up health care costs.
Slow and steady might win the health care reform race
By HealthBlawg
Health care reformers may be biting off more than they can chew. The Massachusetts approach of addressing one thing at a time--access, cost and quality--might be worth considering at the national level.
International
Don't blame Canada
By Canadian Medicine
Some commentators have pointed to Canada's health care problems as an excuse to avoid further federal involvement in the U.S. health care system. But this argument is no more than fearmongering, Canadian Medicine writes.
Health and Lifestyle
If changing a habit is hard, try 1/2 instead
By How to Cope With Pain
Sometimes tackling a habit is too hard. Make incremental changes instead for healthier choices about diet, exercise or smoking cessation.
Women's Health
Gynecology rules, but birth process is more boredom than miracle
By Vagus Surgicalis
A New York Times piece on maternal mortality prompts an Australian medical student to reflect on his recent OB/GYN rotation.
Lessons learned from a bittersweet birth
By Beyond the Short Coat
A medical student recounts his very first delivery--of a baby destined to die from severe holoprosencephaly--and his subsequent interaction with the patient's family.
Addicted to ultrasounds
By Reality Rounds
A NICU nurse wittily recalls her obsession with weekly ultrasounds while pregnant--until a wise medical director puts her in her place.
Sports
Arthroscopy results no better than pretend surgery
By The Fitness Fixer
Knee surgery is done, recommended, repeated and taught, but the evidence base shows it is more often not needed. A study shows that having arthroscopy is no more effective than having fake surgery.
Your mattress, your health, your choice
By The Back Pain Blog
PubMed archives shed light on sleep studies that examine whether quality mattresses help back pain.
Hip replacement technique may benefit 'young actives'
By InsureBlog
Henry Stern talks to orthopedic surgeon Robert Roman about the pros and cons of the Birmingham approach.
Technology
Tricky diagnosis? Consult Dr. Google
By Clinical Cases and Images
Ever wonder how you can use Google Squared to create an automatic differential diagnosis list? Find out on the latest post.
Cloud computing for automated patient reminders
By Medicine and Technology
Systems can gather medical information and alert clinicians and patients if a problem is detected. These types of automated reminders are not difficult to generate with the right algorithms that are driven by evidence-based practice guidelines. Will electronic health records lead to improved patient outcomes?
Weekender
Catch more than a sunburn at these beaches
By Medicine for the Outdoors
California and Illinois beaches have particularly high levels of bacteria and swimmers may want to check online water quality reports before diving in.
Add footwear to the list of essential protection
By Teen Health 411
It's a good idea to keep your shoes on this summer in the locker room or at the pool, where viruses and fungi often lurk.
Family
Not a DIY project: curing depressed teens
By Doc Gurley
Paying for professional help, in the form of cognitive-behavorial therapy, is worth the money for the parents of depressed teens, according to new research.
From caregiver to 'care-taker'
By In Sickness and In Health
When a serious illness strikes, the role of caretaker often falls to the patient's significant other. But what happens when the caregiving partner gets sick?
Curing bad behavior in the hospital family
By Florencedotcom
In an effort to improve patient safety, the Joint Commission is targeting disruptive behavior, yet another area where health care can take a cue from the aviation industry.
Your career
Saying no to new business
By Novel Patient
It takes some hunting to find an internist who wants a new patient with multiple complex chronic illnesses, according to this first-person investigation.
Be honest about your experience (or lack)
By Suture for a Living
When a patient asks how many procedures a physician has performed--or even if they don't ask--telling the truth is the right thing to do.
Entertainment
Nurse Jackie Disappoints
By Digital Doorway
Our "TV critic," Keith Carlson, RN, offers his reaction to the premier of Nurse Jackie, a new Showtime "dramedy" that showcases a drug-diverting, fib-telling, take-no-prisoners nurse who does little to advance the image of nurses in the public eye.
Jenny McCarthy feuds with science
By Dr. Val
Dr. Val suggests a boycott of Oprah and provides evidence-based rebuttals to Jenny McCarthy's anti-vaccination propaganda.
The Funny Pages
Cartoon Caption Contest
Each month, ACP Internist lets readers create their own cartoon captions and vote for the winner. Submit all entries by June 18. Pen the winning caption and win a $50 gift certificate good toward any American College of Physicians product, program or service. (We have a gift shop and non-clinical books for the lay reader.)
Medical News of the Obvious
Every Monday, ACP Internist skewers studies that shouldn't have needed to be done. Read more every Monday at Medical News of the Obvious.
"Bob at the Carnival"
Bob the Male Nurse Action Figure goes to the carnival, a part of the continuing photographic adventures of Bob the Nurse.
The Final Page
We hope you enjoyed our newspaper. Now that you're finished, don't forget to recycle.
Labels: Grand rounds
posted by Ryan DuBosar at
3:30 PM
Contact ACP Internist
Send comments to ACP Internist staff at acpinternist@acponline.org.
Previous Posts
- More than skin deep: Psoriasis has hidden dangers
- Medical news of the obvious
- Good news (which we still don't believe)
- Cure for sleep apnea in the woodwind section?
- Throwing the baby out with the snake oil.
- Medical news of the obvious
- DDW: NOTES worth a mention
- DDW: Managing IBS
- DDW: Fecal incontinence
- DDW: Point-of-care Web sites
Blog log
Members of the American College of Physicians contribute posts from their own sites to ACP Internist and ACP Hospitalist. Contributors include:
Albert
Fuchs, MD
Albert Fuchs, MD, FACP, graduated from the
University of California, Los Angeles School of Medicine, where he
also did his internal medicine training. Certified by the American
Board of Internal Medicine, Dr. Fuchs spent three years as a
full-time faculty member at UCLA School of Medicine before opening
his private practice in Beverly Hills in 2000.
Zackary
Berger
Zackary Berger, MD, ACP Member, is a primary care
doctor and general internist in the Division of General Internal
Medicine at Johns Hopkins. His research interests include
doctor-patient communication, bioethics, and systematic reviews.
CasesBlog
Ves
Dimov, MD, ACP Member, is an allergist/immunologist and Assistant
Professor of Medicine and Pediatrics at the University of Chicago,
where he evaluates and treats both pediatric and adult patients.
David
Katz, MD
David L. Katz, MD, MPH, FACP, is an internationally
renowned authority on nutrition, weight management, and the
prevention of chronic disease, and an internationally recognized
leader in integrative medicine and patient-centered care.
db's
Medical Rants
Robert M. Centor, MD, FACP,
contributes short essays contemplating medicine and the health care
system.
DrDialogue
Juliet
K. Mavromatis, MD, FACP, provides a conversation about health topics
for patients and health professionals.
Dr.
Mintz' Blog
Matthew Mintz, MD, FACP, has practiced internal
medicine for more than a decade and is an Associate Professor of
Medicine at an academic medical center on the East Coast. His time is
split between teaching medical students and residents, and caring for
patients.
Everything
Health
Toni Brayer, MD, FACP, blogs about the rapid
changes in science, medicine, health and healing in the 21st century.
FutureDocs
Vineet
Arora, MD, FACP, is Associate Program Director for the Internal
Medicine Residency and Assistant Dean of Scholarship & Discovery
at the Pritzker School of Medicine for the University of Chicago. Her
education and research focus is on resident duty hours, patient
handoffs, medical professionalism, and quality of hospital care. She
is also an academic hospitalist.
Glass
Hospital
John H. Schumann, MD, FACP, provides
transparency on the workings of medical practice and the complexities
of hospital care, illuminates the emotional and cognitive aspects of
caregiving and decision-making from the perspective of an active
primary care physician, and offers behind-the-scenes portraits of
hospital sanctums and the people who inhabit them.
Gut
Check
Ryan Madanick, MD, ACP Member, is a gastroenterologist
at the University of North Carolina School of Medicine, and the
Program Director for the GI & Hepatology Fellowship Program. He
specializes in diseases of the esophagus, with a strong interest in
the diagnosis and treatment of patients who have difficult-to-manage
esophageal problems such as refractory GERD, heartburn, and chest
pain.
I'm
dok
ACP Member Mike Aref, MD, PhD, ACP Member, is an academic
hospitalist with an interest in basic and clinical science and
education, with interests in noninvasive monitoring and diagnostic
testing using novel bedside imaging modalities, diagnostic reasoning,
medical informatics, new medical education modalities, pre-code/code
management, palliative care, patient-physician communication, quality
improvement, and quantitative biomedical imaging.
Informatics
Professor
William Hersh, MD, FACP, Professor and Chair,
Department of Medical Informatics & Clinical Epidemiology, Oregon
Health & Science University, posts his thoughts on various topics
related to biomedical and health informatics.
Just
Oncology
Richard Just, MD, ACP Member, has 36 years in
clinical practice of hematology and medical oncology. His blog is a
joint publication with Gregg Masters, MPH.
KevinMD
Kevin
Pho, MD, ACP Member, offers one of the Web's definitive sites for
influential health commentary.
MD
Whistleblower
Michael Kirsch, MD, FACP, addresses
the joys and challenges of medical practice, including controversies
in the doctor-patient relationship, medical ethics and measuring
medical quality. When he's not writing, he's performing
colonoscopies.
Medical
Lessons
Elaine Schattner, MD, ACP Member, shares
her ideas on education, ethics in medicine, health care news and
culture. Her views on medicine are informed by her past experiences
in caring for patients, as a researcher in cancer immunology, and as
a patient who's had breast cancer.
More
Musings
Rob Lamberts, MD, ACP Member, a med-peds and general
practice internist, returns with "volume 2" of his personal
musings about medicine, life, armadillos and Sasquatch at More
Musings (of a Distractible Kind).
Musing
of an Internist
Justin Penn, MD, ACP Associate Member,
attended medical school at the University of Washington School of
Medicine and trained in internal medicine at the University of
Rochester, where he is serving as Chief Resident.
Prescriptions
David
M. Sack, MD, FACP, practices general gastroenterology at a small
community hospital in Connecticut. His blog is a series of musings on
medicine, medical care, the health care system and medical ethics, in
no particular order.
Reflections
of a Grady Doctor
Kimberly Manning, MD, FACP,
reflects on the personal side of being a doctor in a community
hospital in Atlanta.
Technology
in (Medical) Education
Neil Mehta, MBBS, MS, FACP,
is interested in use of technology in education, social media and
networking, practice management and evidence-based medicine tools,
personal information and knowledge management.
White
Coat Underground
Peter A. Lipson, MD, ACP Member, is a
practicing internist and teaching physician in Southeast Michigan.
The blog, which has been around in various forms since 2007, offers
musings on the intersection of science, medicine, and culture.
Other blogs of note:
American
Journal of Medicine
Also known as the Green
Journal, the American Journal of Medicine publishes original clinical
articles of interest to physicians in internal medicine and its
subspecialities, both in academia and community-based practice.
Clinical
Correlations
A collaborative medical blog started
by Neil Shapiro, MD, ACP Member, associate program director at New
York University Medical Center's internal medicine residency program.
Faculty, residents and students contribute case studies, mystery
quizzes, news, commentary and more.
Interact
MD
Michael Benjamin, MD, ACP member, doesn't accept
industry money so he can create an independent, clinician-reviewed
space on the Internet for physicians to report and comment on the
medical news of the day.
PLoS
Blog
The Public Library of Science's open access
materials include a blog.
White
Coat Rants
One of the most popular anonymous blogs
written by an emergency room physician.
12 Comments:
Great job!
Great job, Ryan!
Thanks for hosting, and for including our post.
Great job! Clean, swift and provocative - makes me want to dive into all the posts. Thanks for the Great Grand Rounds
Thanks, Ryan! Great read. Now I'm really looking forward to hosting next week's edition! Here's a link with a call for submissions: http://florencedotcom.blogspot.com/2009/06/grand-rounds-searching-for-meaning.html
Barb
Thank you all for contributing and reading, on behalf of the entire newsroom staff who worked on Grand Rounds.
Ryan
I really like the format of this Grand Rounds! I might steal your idea next time I host. :)
Great selection.
I am realy enjoying the teaching tools demo from Laikas Medliblog
Great edition, Ryan. Thanks for hosting. I really enjoyed the one on mattresses.
Oh wait, that was mine. :o)
NIc edition - concise, easy to read. Thanks for hosting!
Hi there. I'm new to your blog. Thanks for hosting this week! Nice format.
Knee surgery is done, recommended, repeated and taught, but the evidence base shows it is more often not needed. A study shows that having arthroscopy is no more effective than having fake surgery.
"Grand Rounds"
That's catchy! Really nice post by the way.
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