Archive | Commentary RSS feed for this section

False and Misleading Information About Lyme Disease

  Recently, there has been considerable interest in the topic of fake news. For infectious diseases physicians, false and misleading information about the diagnosis and treatment of Lyme disease is not new. It is increasing in frequency and prominence, creating much confusion among primary care physicians and their patients. Persistent, unexplained subjective symptoms such as […]

Read more

Where Have the Generalists Gone? They Became Specialists, Then Sub-Specialists.

At the onset of the 20th century, most practicing physicians had received their training in proprietary medical schools, many of which were essentially diploma mills.1 These schools offered a series of lectures over a 1-year period. A minority of physicians had attended university-based medical schools such as Johns Hopkins, which was established in 1893. There were only […]

Read more
Dr. Joseph S. Alpert

Will Physicians Stop Performing Physical Examinations?

In the 21st century, debate continues concerning the value of the physical examination.1, 2, 3, 4 That such a hallowed and respected ritual of clinical medicine should even be questioned is the result of the remarkable advances during the last 50 years in imaging technology and laboratory medicine. When I was a student and resident in the late 1960s […]

Read more

Advancing High-Value Health Care: A New AJM Column Dedicated to Cost-Conscious Care Quality Improvement

Despite the very high cost of health care in the US, expenditure continues to rise. According to the Centers for Medicare & Medicaid Services, health care expenditures for 2016 are projected to be $3.4 trillion, and the percentage of the gross domestic product spent on health care will increase from 17.4% in 2013 to 19.6% […]

Read more

Incorporating Formal Nutrition Education into a Medical School Curriculum

Since the 1985 report titled “Nutrition Education in U.S. Medical Schools,” The National Research Council has recommended at least 25 to 30 hours of nutrition education in graduate medical education.1 However, a 2013 survey of 133 US medical schools found that 71% of programs continue to fall short in providing the minimum recommended 25 hours of […]

Read more
UA-42320404-1