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The Frequency of Unnecessary Testing in Hospitalized Patients

Testing is an important part of medicine across all specialties and settings. As a result, the volume of testing is enormous, with an estimated 4-5 billion tests performed in the United States each year.1 Unnecessary laboratory testing and diagnostic imaging is believed to be common. Studies looking at testing of patients have found 40%-60% of tests […]

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doctor shaking hands with female patient

Coaching Patients Saves Lives and Money

The Coaching On Achieving Cardiovascular Health (COACH) Program has been proven to improve biomedical and lifestyle cardiovascular disease (CVD) risk factors. The objective of this study was to evaluate the long-term impact of The COACH Program on overall survival, hospital utilization, and costs from the perspective of a private health insurer (payor), in patients with […]

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Joseph S. Alpert

Do We Learn More from Our Mistakes than from Our Successes?

For years I have believed that you can learn more from your mistakes than from your successes. It is a dictum that I have quoted many times on rounds with residents and students. I tell them that I still remember the mistakes made as an intern, but the success stories have faded from my brain. […]

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woman holding knee

An Approach to Myopathy for the Primary Care Clinician

Patients with muscle weakness are frequently encountered in the primary care clinic; however, the identification of an underlying disorder of muscle can pose a significant challenge. The aim of this review article is to provide a clinical and diagnostic framework to aid the primary care clinician in the detection and evaluation of suspected myopathies. Introduction […]

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A Roadmap for Research on Resident Well-Being

Although well-being lacks a universally agreed-upon definition, it is generally understood to include both the presence of positive elements (eg, engagement, happiness, quality of life, meaning and fulfillment, and physical health) and the absence of negative elements (eg, physical illness, depression, anxiety, and burnout).1 In recognition of the challenges to well-being faced by residents during the […]

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