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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.
Historic Passage – Reform at Last – An NEJM Special Report
JK Inglehart, NEJM, March 24, 2010, Vol 362 (12)
John Iglehart reports on the passage of the health care reform bill, the first piece of major social legislation to be enacted on a strictly partisan basis.
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?
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.
We Can Do Better—Improving the Health of the American People – An NEJM Special Article
SA Schroeder, NEJM, September 20 2007, Vol 357 (12), 1221-8
United States healthcare has been ridiculed for spending the greatest amount per capita yet achieving mediocre health results. In this special article, Dr. Shroeder of UCSF suggests that the greatest opportunities to improve health lie in improving personal behavior and addressing the health of the poor. He then speculates that lack of social advocacy for the poor and the laissez-faire health system encourages poor health outcomes.
When Law and Ethics Collide – Why Physicians Participate in Executions – An NEJM Perspective Article
A. Gawande, NEJM, March 23 2006, Vol 354 (12)
Execution by lethal injection presents an ethical dilemma for physicians: in order for lethal injections to occur effectively and smoothly, the presence of doctors and nurses is necessary, but does this participation violate the medical code of ethics? The quandary only grows as physicians are required to attend executions by state laws. How should the medical community approach physician participation?
Hospitalization for Mental Illness Among Parents After the Death of a Child – An NEJM Original Article
Original Article by J. Li et al., NEJM, March 24 2005, Vol 352(12)
When a physician loses a patient, the effects of stress and grief of losing a loved one on family members can sometimes be overlooked. This study reports the risk of clinical psychiatric disorders and hospitalizations among parents who have lost a child.
Becoming a Physician: Notes to the Class-First Day – An NEJM Original Article
Becoming a Physician: Notes to the Class-First Day Perspective Article by K. Treadway, NEJM, May 12 2005, Vol 352(19) What does it mean to be compassionate as a doctor? Certain studies demonstrate that among medical students, the “commitment to the well being of others either withers or turns into something barely recognizable” by the end [...]
