Sensible Medicine

FEBRUARY 22, 2024

Last week I wrote about Grail’s Galleri test; a test marketed as a single blood test that screens for 50 cancers. Last week’s article outlined my pretty dim view of the test. As a nation, we have embraced mammography, colonoscopy, and PSA testing as part of routine healthcare. ’” 3.

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Tests Follow-Up 333

Sensible Medicine

AUGUST 30, 2023

Last week a friend sent me a link to an article in The Financial Times titled, MRI scan more accurate than blood test at diagnosing prostate cancer, UK study finds. I read the article, skeptically, thinking MRI as a screening test, come on. The following 2X2 table shows the number of men with positive and negative tests.

Tests 246

Tests Billing Diagnostics 246

Sensible Medicine

SEPTEMBER 27, 2024

On the other, articles will sometimes find second life on the site. 1 Being alerted to this article was a gift for several reasons. The article itself also got me thinking. Initially, I was tempted to dismiss it as one of those “back in the good old days” screeds until I realized the article was published in 1998.

Physical Exams 285

Physical Exams Tests Diagnostics Discharges 285

Sensible Medicine

MARCH 1, 2024

I’m writing about Dr. Attia because a dozen readers referenced him in comments and emails about the first two articles in this series. He posted a nice article in January on his website that summarize some of his views. If you appreciate our work, consider becoming a free or paid subscriber. ” Going further, Dr. .

Tests 276

Tests Follow-Up Medication 276

Sensible Medicine

FEBRUARY 20, 2025

As always, we are happy to feature articles that expand on ideas discussed on Sensible Medicine – even when the author agrees more with Dr. Prasad than with me. Second, irrelevant/indirect intervention means that studies tests interventions that are not possible to use outside the study. There is limited external validity.

Medication 299

Medication Tests 299

Sensible Medicine

AUGUST 4, 2024

I then use my other “media” – NYT, NPR, twitter, office chatter – to find other articles I should be reading. Last week, there were no articles that changed my practice but there were a few that I found interesting. This article was published in Nature Medicine. People that tested negative were followed.

Follow-Up 262

Follow-Up Tests Medication 262

Scrubs

AUGUST 4, 2023

Providers are typically paid for each test and procedure they perform, which can lead to a conflict of interest, especially when patients have to foot the bill. New studies reveal just how widespread medically unnecessary care can be, forcing patients to pay for procedures and tests they may not need. The findings were astonishing.

Tests 230

Tests Billing Insurance Medication 230

Sensible Medicine

APRIL 24, 2024

The article begins by explaining that mammograms don’t find all breast tumors — of course they don’t! Only large, randomized trials testing whether these additional screenings lower rates of death from breast cancer or distant spread or all cause mortality can answer the question. Even MRI and ultrasound do not.

Tests 333

Tests 333

Sensible Medicine

OCTOBER 26, 2023

Reading Vinay’s article last week called to mind one of my favorite articles. By the time a medical student has reached the 4 th year, he or she has learned from textbooks, review articles, and lectures. In the second half of the course, students were free to choose articles from the entirety of the medical literature.

Continuing Education 241

Continuing Education Diagnostics Tests Medication 241

Sensible Medicine

JUNE 15, 2024

The medical college admission test contains many irrelevant questions that have nothing to do with being a doctor. At the same time, some standardized testing is likely needed as a test of cognitive ability and a prediction of the ability to pass future examinations and complete clerkships. Obviously that's not the case.

Medication 357

Medication Tests Follow-Up Admissions 357

Sensible Medicine

MAY 1, 2024

If RCTs are the most useful study design, and articles about case control studies are my favorite to read, the use and interpretation of diagnostic tests and the articles that define test characteristics are my favorite to think about, talk about, and teach. Given my enthusiasm, this topic will be covered in two posts.

Diagnostics 158

Diagnostics Tests 158

Electronic Health Reporter

APRIL 30, 2019

This article is copyrighted strictly for Electronic Health Reporter. The article Testing Times for Healthcare Software: The Top 10 Issues appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Manish Mathuria, chief technology officer and co-founder, Infostretch.

Tests 89

Tests 89

Sensible Medicine

FEBRUARY 6, 2024

Publish a journal article; OK. They fill journals with articles that do nothing for medicine but only add a line to a CV. They spend money on test prep courses and needle their teachers into inflating grades. Our selection system guarantees trainees who are not only smart, but will do anything that is asked of them.

Admissions 312

Admissions Follow-Up Customer Service Tests 312

Electronic Health Reporter

AUGUST 31, 2020

This article is copyrighted strictly for Electronic Health Reporter. There was a time when the only way a patient could receive comprehensive diagnostic medical tests was through a laboratory. The article Why Point of Care Testing (POCT) Is On The Rise In The Medical World appeared first on electronichealthreporter.com.

Tests 91

Tests Diagnostics Medication 91

Sensible Medicine

JULY 5, 2023

I am a total sucker for an article that argues for the importance of primary care. Pat Croskerry’s 2002 article in which he identifies 30 “failed heuristics, biases, and cognitive dispositions” is one of my absolute favorites that I reference a few times a year. I am also obsessed with our diagnostic reasoning biases.

Diagnostics 246

Diagnostics Tests Patient Centered Care Admissions 246

Electronic Health Reporter

MARCH 6, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article CMS Develops Additional Code For Coronavirus Lab Tests appeared first on electronichealthreporter.com. Illegal copying is prohibited. CMS has developed a second Healthcare […]. CMS has developed a second Healthcare […].

Tests 89

Tests 89

Scrubs

MARCH 29, 2023

A new cancer detection tool known as the “holy grail” of early detection is currently being tested in hospitals throughout the U.K., It is the first pan-cancer blood test, according to Ashish Tripathi, founder and CEO of Tzar Labs and chairman of Epigeneres Biotech, an Indian firm that first developed the test in 2021. “We

Tests 246

Tests Diagnostics Hospital Medication 246

Scrubs

APRIL 13, 2023

The number of RN candidates who passed the NCLEX on their first try fell to 80% last year as more students struggled to pass the test. After I got done with the test, I was surprised at how good I felt. Klontz suggests signing up for the required background check while on vacation and then scheduling the test as soon as you get back.

Tests 245

Tests Scheduling Medication 245

Sensible Medicine

MARCH 2, 2024

Since the start of the pandemic, I have written 200 op-eds on COVID-19 policy and published 20+ peer reviewed articles. In December 2023, at UCSF, I debated my colleague, George Rutherford, in front of an epidemiology audience on 2 propositions: Should you test for COVID-19 if you feel sick? Should you get a fall booster?

Huddles/Rounds 316

Huddles/Rounds Tests 316

Sensible Medicine

SEPTEMBER 8, 2024

I only read two articles last week (Labor Day, a wedding, having to debate, and then write and article with Vinay…). The article came out of the University of Pittsburgh and studied patients there. So why does this article not make me more bullish on mammography? This article doesn’t show a benefit of GDMT.

Follow-Up 275

Follow-Up Discharges Hospital Medication 275

Electronic Health Reporter

JANUARY 22, 2019

The article DNA Testing: What Does It Say About Patient Health? There has been an increase in the number of people who are interested in getting educated about their health and ways to improve it. Beyond dieting, exercising, and getting enough sleep, patients are […]. appeared first on electronichealthreporter.com.

Tests 79

Tests 79

Electronic Health Reporter

FEBRUARY 8, 2022

This article is copyrighted strictly for Electronic Health Reporter. But the biggest benefit was that it triggered a major expansion in health technology, such as telemedicine and at-home lab tests. […]. The article How Will Drones Shape the Future of Healthcare? Illegal copying is prohibited.

Tests 172

Tests 172

Electronic Health Reporter

MARCH 14, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article New CPT Code Announced To Report Novel Coronavirus Test appeared first on electronichealthreporter.com. The article New CPT Code Announced To Report Novel Coronavirus Test appeared first on electronichealthreporter.com.

Tests 79

Tests Medication 79

Sensible Medicine

JANUARY 31, 2025

In the years that followed, I learned of efforts to remove racial identifiers from medical textbooks and test questions. Race is a therefore terrible diagnostic test. We define diagnostic tests as tools that distinguish two populations, in medicine, diseased and healthy. We do this with BRCA testing.

Diagnostics 201

Diagnostics Tests Follow-Up Medical History 201

Electronic Health Reporter

JULY 28, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article Ready to Make Change With Automation Tools? The article Ready to Make Change With Automation Tools? Train For Your Cisco 300-435 Exam Using Top-Quality Practice Tests appeared first on electronichealthreporter.com.

Tests 91

Tests Certification 91

Electronic Health Reporter

JUNE 9, 2020

This article is copyrighted strictly for Electronic Health Reporter. By Ken Perez, vice president of healthcare policy, Omnicell While proper hand hygiene, personal protective equipment, social distancing, testing, and therapeutics are all valid and useful measures in the battle against SARS-CoV-2, the virus that causes […].

Tests 161

Tests 161

Scrubs

JUNE 12, 2023

The biotech firm known as Grail made headlines earlier this year thanks to its signature Galleri blood tests, which can detect up to 50 different kinds of cancer early on to improve patient outcomes. The tests were hailed as the “first of its kind” when it hit the market in 2023. It’s that they simply didn’t exist.

Tests 188

Tests Follow-Up Billing Communication 188

Electronic Health Reporter

APRIL 29, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article Cisco CCIE Test and Exam Dumps: Gateway To The Networking Field appeared first on electronichealthreporter.com. The article Cisco CCIE Test and Exam Dumps: Gateway To The Networking Field appeared first on electronichealthreporter.com.

Tests 70

Tests 70

Scrubs

FEBRUARY 3, 2023

The doctors ran several tests and eventually diagnosed him with a rare heart disease that makes it difficult for the heart to pump blood. No one ever wants to be in the hospital, but unfortunately I developed a heart condition that kept me in the hospital for several days for tests and observations.

Hospital 264

Hospital Tests 264

Scrubs

AUGUST 21, 2023

In an effort to pay her experience forward, she recently posted a lengthy article on the finer points of hitting the books and making it out alive. One of the most difficult things for nursing students to grasp is how to answer NCLEX-style test questions. For the most part.) Nursing is nothing like you think it will be.

Tests 246

Tests Critical Thinking 246

Sensible Medicine

JUNE 26, 2023

I am posting the “Study of the Week” today and John will be publishing a “My Favorite Article” piece later in the week. It can be caused by failure of the testes to produce testosterone or by a problem higher up in the “pituitary-hypothalamic axis.” Mandrola and I are trading beats this week.

Tests 246

Tests Follow-Up Medication 246

Sensible Medicine

APRIL 18, 2024

It would be an understatement to say that the piece stimulated a lot of discussion — in its first 12 hours, there were 186 comments on Sensible Medicine and my tweet about the article had been viewed 16,000 times. (I David Rind sent me this article, a thoughtful, well-argued, reply. Enough with absolutes.

Precepting 212

Precepting Outpatient Care Tests Medication 212

Sensible Medicine

MAY 28, 2024

A subsequent article in BMC Medicine highlighted the dearth of evidence. The title of this article kind of says it all: The authors suggest a depression screening RCT should exclude individuals with known depression, randomize people to screening or no screening, and make the same mental health services available to both groups.

Follow-Up 357

Follow-Up Discharges Appointments Tests 357

Scrubs

FEBRUARY 7, 2023

Experts estimate that about 20% of those who graduate from nursing school aren’t passing the test, which means they won’t be able to enter the nursing profession. Students who attended nursing school in or after Fall 2021 will be tested on this new version of the NCLEX. The pass rate fell from 88.2% in 2019 to 82.5%

Critical Thinking 279

Critical Thinking Tests Collaboration 279

Scrubs

MARCH 31, 2023

They underwent various diagnostic tests, all of which came back negative. “I reached out to a physician and asked if he would order a carbon monoxide (CO) poisoning test,” she explains. The staff ran another test on the patient, which showed dangerously high levels of carbon monoxide in their bloodstream.

Tests 237

Tests Diagnostics Collaboration Hospital 237

Sensible Medicine

NOVEMBER 25, 2023

I’ve stayed away from throwing shade at lay coverage of nutrition science since our articles, Nutrition Churnalism Part 1 and Part 2 , that we published way back in August of 2023. It is just that attacking these articles is like shooting the proverbial fish in a barrel. Here’s Why.

Tests 215

Tests Medication 215

Electronic Health Reporter

JULY 29, 2021

This article is copyrighted strictly for Electronic Health Reporter. COVID-19 brought its fair share of trials and tests with it. The article Six Time Management Tips For Healthcare Workers During COVID-19 appeared first on electronichealthreporter.com. Illegal copying is prohibited.

Time Management 142

Time Management Tests 142