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House Calls

When I was a medical student, 50 years ago, physicians, especially pediatricians, internists, and family physicians, were still making house calls as part of their provision of care for their patients.1 The symbol of the practicing physician at that time was the “black bag,” which contained diagnostic tools like the stethoscope, ophthalmoscope, tuning fork, reflex hammer, […]

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The Coronary (Cardiac) Care Unit at 50 Years: A Major Advance in the Practice of Hospital Medicine

This year, 2017, marks the 50th anniversary commemorating the publication of an article describing the results from the classic study by Killip and Kimball showing a reduction in mortality from acute myocardial infarction in patients sequestered in a specialized hospital unit1 at New York Hospital in New York City. Also described in the article was the […]

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Reflections on the Physicians Payment Sunshine Act

Society has clearly benefited from the partnership between the pharmaceutical and medical device industries. For more than 100 years there has been an unwritten understanding that industry, working in a market economy, would develop those treatments that physicians and their patients require, while the government would supervise the approval process, as well as regulate the […]

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Enhancing Medical Adherence

Adherence to a medical regimen is defined as the extent to which a patient takes a prescribed medication. The term “adherence” is often used interchangeably with “compliance,” but adherence is currently the preferred term because it implies a responsibility that is shared by both the patient and the healthcare provider. Many barriers to appropriate medication […]

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Critique of Duty Hour Requirements

A Bridge too Far: A Critique of the New ACGME Duty Hour Requirements The issue of resident work hours has been discussed extensively for more than 25 years.(1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11) Errors and signs of sleep deprivation in residents have been catalogued in a few single institution studies […]

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