NEJM Original Content
Can Electronic Clinical Documentation Prevent Diagnostic Errors – An NEJM Perspective Article
GD Schiff & DW Bates, NEJM, March 25, 2010, Vol 362 (12), 1066-1069.
Not everything about a patient’s life can be gathered from a brief consultation in a clinic. Dr. Berland has devised a fascinating method of looking into the personal lives and troubles of her disabled patients – encouraging them to carry a video camera with them. Read about the unique insight that she gained through this novel, simple idea.
Untangling the Web – Patients, Doctors, and the Internet – An NEJM Perspective Article
P Hartzband & J Groopman, NEJM, March 25, 2010, Vol 362 (12), 1063-1066
Medicine has built on a long history of innovation, from the stethoscope and roentgenogram to magnetic resonance imaging and robotics. Doctors have embraced each new technology to advance patient care. But nothing has changed clinical practice more fundamentally than one recent innovation: the Internet. Its profound effects derive from the fact that while previous technolgoies have been fully under doctor’s control, the Internet is equally in the hands of patietns. Such access is redefining the roles of physician and patient.
Screening for Colorectal Cancer – An NEJM Clinical Practice Article
David A. Lieberman, NEJM December 20, 2007, Vol 3561 (12), 1178-1187.
A healthy 76-year-old woman presents as a new patient for primary caree. She has no family history of colorectal cancer. Would you advise this patient to undergo colon-cancer screening, adn if so, what test would you recommend?
Obama’s Vision and the Prospects for Health Care Reform – An NEJM Perspective Article
John K. Iglehart, NEJM, September 14, 2009
In a rare address to Congress on September 9, President Barack Obama sought to rebuild momentum among legislators for pursuing reform and setting out his basic notes.
Poverty, Wealth, and Access to Pandemic Influenza Vaccines – An NEJM Perspective Article
Tadataka Yamada, NEJM, September 17, 2009, Vol 361 (12)
The prospects for developing an effective vaccine to prevent infection with the current H1N1 virus are excellent. Dr. Tadataka Yamada roposes a set of principles to guide global allocation of a pandemic vaccine.
Market-Based Failure — A Second Opinion on U.S. Health Care Costs – An NEJM Perspective Article
R Kuttner, February 7 2008, Vol 358 (6), 549-51
Solutions to American healthcare problems will be one of the most important issues in the upcoming Presidential election. Understanding the reasons for America’s especially high healthcare costs is consequently a high priority for those interested in the medical field. Dr. Kuttner asserts that the failure of the U.S. system lies in its obsession with profit maximization. He advocates universal health care to increase cost-effectiveness and standard of care.
The View from the Other Side — Patients, Doctors, and the Power of a Camera – An NEJM Perspective Article
G Berland, NEJM, December 20 2007, Vol 357 (25), 2533-36
Not everything about a patient’s life can be gathered from a brief consultation in a clinic. Dr. Berland has devised a fascinating method of looking into the
personal lives and troubles of her disabled patients – encouraging them to carry a video camera with them. Read about the unique insight that she gained through this novel, simple idea.
Military–Civilian Collaboration in Trauma Care and the Senior Visiting Surgeon Program – An NEJM Special Report
EE Moore et al, NEJM, December 27 2007, Vol 357 (26), 2723-27
Integrating civilian and military medical capabilities has been shown to be vital throughout the nation’s history. The Joint Trauma Training Center was established in Houston in 1999 to train military trauma teams at a civilian hospital. This article peers into the unique cases facing military medicine and describe a system of bringing military doctors up to date.
Childhood Body Mass Index and the Risk of Coronary Heart Disease in Adulthood – An NEJM Original Article
JL Baker, LW Olsen, and TIA Sørensen, NEJM, December 6 2007, Vol 357 (23), 2329-37
The worldwide epidemic of childhood obesity is progressing at an alarming rate, but the severity of the long-term effects of excess childhood weight on coronary heart disease is unknown. In a study with a cohort of over 275,000 schoolchildren and over 5 million person-years of followup, the authors find a definitive link between obesity and coronary heart disease.
In Defense of Pharmacoepidemiology — Embracing the Yin and Yang of Drug Research – An NEJM Perspective Article
J Avorn, NEJM, November 29 2007, Vol 357 (22), 2219-21
Pharmaceutical companies often study drug effects on an epidemiological scale, observing large numbers of patients in settings of routine care. Pharmacoepidemiology can offer insights not given by the randomized, controlled trial, the traditional means of assessing drugs. Although several notorious examples of misleading epidemiological studies mar the practice of observational study, the author defends pharmacoepidemiology as a budding, promising tool for drug evaluation.
