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Returning to (Electronic) Health Records That Guide and Teach

Over the last 2 decades, medical records in the United States have undergone rapid digitization. Unfortunately, electronic health records have not delivered on their promise of improving clinical workflow, or even information access, given the lack of system interoperability.1 With the implementation of the Health Information Technology for Economic and Clinical Act in 2009, legislative mandates […]

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man stands on a scale with diet pills at his feet

Visceral and Intrahepatic Fat Are Associated with Cardiometabolic Risk Factors Above Other Ectopic Fat Depots: The Framingham Heart Study

We examined the associations among 8 different fat depots accumulated in various anatomic regions and the relationship between these fat depots and multiple cardiometabolic risk factors. Methods Participants were from the Framingham Heart Study Offspring and Third Generation who also participated in the multidetector computed tomography substudy in 2002-2005. Exposures were multidetector computed tomography–derived fat […]

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Mobile Health Technology for Atrial Fibrillation Management Integrating Decision Support, Education, and Patient Involvement

  Mobile Health technology for the management of patients with atrial fibrillation is unknown. Methods The simple mobile AF (mAF) App was designed to incorporate clinical decision-support tools (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age ≥75 years, Diabetes Mellitus, Prior Stroke or TIA, Vascular disease, Age 65–74 years, Sex category], HAS-BLED [Hypertension, Abnormal renal/liver function, Stroke, […]

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Teaching Diagnostic Reasoning in the Digital Age: The Role of the Mentor

Each case has its lesson—a lesson that may be, but is not always, learnt, for clinical wisdom is not the equivalent of experience. A man who has seen 500 cases of pneumonia may not have the understanding of the disease which comes with an intelligent study of a score of cases, so different are knowledge […]

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doctor talking on cell phone stting at his desk, looking at computer

Humanizing the Electronic Medical Record with the Personal Fact

The current model of patient care promotes a system wherein patients are viewed as diseases with treatment plans rather than individuals with a lifetime of experiences. This is further exaggerated by the electronic medical record, wherein streams of impersonal data are presented above the patient narrative. Quantitative data are crucial for medical management, but it […]

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