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Why most medical research is likely (still) waste, and less research funding may be one way forward

Sensible Medicine

I think most medical research is a waste and often even harmful. Second, irrelevant/indirect intervention means that studies tests interventions that are not possible to use outside the study. Third, medical interventions are often tested with indirect outcomes such as progression free survival.

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Nurse with Medical Marijuana Card Fired After Failing Drug Test

Scrubs

A nurse at the Cass County Jail in Fargo, North Dakota recently lost her job after failing a mandatory drug test even though she has a valid medical marijuana card. She received her medical marijuana card from neighboring Minnesota where medical weed is legal. So, can nurses use medical marijuana?

Tests 246
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When Trials Find Implausible Results—The SCOT-HEART trial

Sensible Medicine

An imaging test. One group of patients with chest pain received standard stress testing; the other received standard stress testing plus a coronary CT scan (CCTA). Here is the 5-year survival curves for the composite endpoint of CV death and MI: How can a diagnostic test lead to this much benefit? Not a drug.

Tests 306
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Nursing Quiz to Test Your Medical Skills

Scrubs

If you are a practicing nurse, use this nursing quiz to test your knowledge of basic medicine. /34 avg 481 Created on August 16, 2022 Nursing Quiz to Test Your Medical Skills 1 / 34 A nurse is caring for a patient with MRSA, so wearing a gown and gloves. 34 12 votes, 1.9 can of juice 12 oz. can of juice 8 oz. can of juice 4 oz.

Tests 244
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How medical school fails students

Sensible Medicine

Let me discuss the ways in which medical school fails students. These essays will be about how institutions, particularly academic medical leaders, fail doctors in training. The pre-medical curriculum is tangential to medicine at best. Once students get to medical school we make them memorize loads of irrelevant trivia.

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Race in Medicine

Sensible Medicine

In the years that followed, I learned of efforts to remove racial identifiers from medical textbooks and test questions. Another critical point is that socially defined race (the only kind) – Black, Asian, European – are terribly inaccurate stand-ins for what medically important variation there is.

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Coronary Artery Calcium Trial Fails to Impress

Sensible Medicine

The Journal of the American Medical Association published an actual randomized controlled trial for coronary artery calcium (CAC). As a skeptic of this imaging test, I saw the headline and thought: finally, we will learn whether patients who have their chest radiated have better outcomes. Same with imaging tests.

Tests 219