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The 2017 Match and the Future US Workforce

For 25 years from 1980 to 2005, the number of US MD medical schools and the number of MD students did not increase because of predictions of an oversupply of US physicians by the Council on Graduate Medical Education (COGME).1 Then, in 2005, the COGME reversed its opinion and predicted a shortage of physicians. The […]

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The Seven Ages of the Physician

All the world’s a stage, And all the men and women merely players; They have their exits and their entrances, And one man in his time plays many parts, His acts being seven ages. At first, the infant, Mewling and puking in the nurse’s arms. Then the whining schoolboy, with his satchel And shining morning […]

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Restoring the Art of Medicine

There was a time when physicians and laypersons frequently and comfortably referred to the “art of medicine,” but that was 45 years ago. Times have changed. Back then, as an eager and idealistic medical student, the expression puzzled me and discussions with my classmates and teachers about its deeper meaning left me unsatisfied. For the […]

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elder woman sick in bed with husband looking on

Advance Directives in Hospice Healthcare Providers: A Clinical Challenge

On a daily basis, healthcare providers, especially those dealing with terminally ill patients, such as hospice workers, witness how advance directives help ensure the wishes of patients. They also witness the deleterious consequences when patients fail to document the care they desire at their end of life. To the best of our knowledge there are […]

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woman holding a pill and glass of water

From Evidence Based Medicine to Medicine Based Evidence

Evidence based medicine, using randomized controlled trials and meta-analyses as the major tools and sources of evidence about average results for heterogeneous groups of patients, developed as a reaction against poorly designed observational treatment research and physician reliance on personal experience with other patients as a guide to decision-making about a patient at hand. However, […]

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