Remove Admissions Remove Follow-Up Remove Tests
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Can We Select “Better” Residents?

Sensible Medicine

They spend money on test prep courses and needle their teachers into inflating grades. To some extent, I think this is mostly what we already do in admission/selection committees. [ii] One could also follow the lead of the tech industry and invest in the selection process. i] Are their alternatives?

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STRONG HF – A Positive Trial that Does Not Help Clinical Medicine

Sensible Medicine

Trials select their patients, test the drugs in run-in periods and use research coordinators to help patients navigate complex health systems. Actual cardiologists performed these visits, which included up-titration of meds, but, also, as Adam correctly notes, patients had MD-level assessments. But trials are best case scenarios.

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How medical school fails students

Sensible Medicine

The medical college admission test contains many irrelevant questions that have nothing to do with being a doctor. There was a follow-up component to the biochemistry question, and it too was a logic puzzle, however, unfortunately it was incorrect. Next up… residency. I can not imagine anything worse.

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Almost the AI Article I Want

Sensible Medicine

The idea was that the software would examine patients’ medical records – the entire medical record: clinical notes; labs; radiology; and their admission histories – and learn to stratify people in terms of their risk for readmission. The idea was that interventions could then be tested in the high-risk groups.

Follow-Up 253
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A Surprising Look at the Evidence for Beta-Blockers After MI

Sensible Medicine

A place where a learner can go to look up the seminal trials that established modern day cardiology practice. Here comes a key feature: patients were randomized 5-21 days after the hospital admission. This trial tested the use of early IV beta-blocker (atenolol) in patients with MI. Average age 55 years.

Hospital 342
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Friday Reflection 28: Four of the Things Patients Have Taught Me

Sensible Medicine

We read about diseases and their associated diagnostic tests and treatments. Clinical findings and blood tests hint at the diagnosis, but the only truly confirmatory test is a biopsy of the temporal artery – a small procedure but a procedure all the same. Diagnostic tests give you more than just a diagnosis.

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Friday Reflection 32: The Trauma of Not Dying Alone

Sensible Medicine

Even though my practice is made up of about 750, overwhelmingly older people, mostly with chronic medical conditions, I only attend to the death of a patient a few times a month. There have been previous admissions after which the patient did not make it to follow-up appointments. Acceptance followed and waxed and waned.

Hospice 312