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Effect of Eliminating Extended Work Shifts and Reducing Weekly Work Hours on Serious Medical Errors in Intensive Care Units
Original Article by C.P. Landrigan et al., NEJM, October 27 2004, Vol 351(18)
 Sleep deprivation suffered by interns and other training physicians on shifts longer than 24 hours may have a detrimental effect on patient safety. The Intern Sleep and Patient Safety Study suggests the need for further changes to the scheduling of resident work shifts, despite last year's reforms by the Accreditation Council for Graduate Medical Education.
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Election 2004 - Protecting the Uninsured
Perspective Article by K.E. Thorpe, NEJM, October 7 2004, Vol 351(15)
 With rapidly rising health care costs and greater than 15% of the American population lacking health insurance in 2003, health care reform has become a critical issue in the race for the presidency. The Democratic and Republican candidates each propose solutions that contrast significantly in cost and coverage.
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Therapeutic Potential of RNA Interference
Mechanisms of Disease by M. Stevenson, NEJM, October 21 2004, Vol 351(17)
 By silencing gene expression, RNA interference (RNAi) has a potential to create new therapeutic agents for the treatment of cancer and viral diseases in the near future. Mario Stevenson explores the discovery and possibilities of RNAi.
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The next issue arrives on January 1, 2005.
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NextGen Talk to the Authors: C.P. Landrigan and C.A. Czeisler
Drs. Czeisler and Landrigan talk to the Next Generation about the Intern Sleep and Patient Safety Study and discuss the correlation between longer than 24 hour workshifts for interns and the incidence of serious medical errors in ICUs.
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On Medical Education Reform at Harvard and Beyond
A Perspective with Jo Shapiro, MD, Harvard Medical School
A leader in Harvard Medical School Medical Education Reform Initiative, Dr. Jo Shapiro is a firm believer in the importance of educating physicians in the skills necessary in the next generation of medicine going beyond rote science learning to teach interpersonal communication, compassion, and professionalism. In this Perspective, she shares her vision for medical education and her advice for aspiring doctors.
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Introduction to "Money in Medicine"
A First Installment of NextGen's "Money in Medicine" Series
No matter where one looks - from the political debate about healthcare
policy, to the institutions that fund medical research, to the
time that doctors spend on bills or grant proposals - the influence of
money in medicine is undeniable. In this introduction, the Next Generation
seeks to explore just some of the ways that money and medicine interact.
In future installments, we will explore different facets of this relationship
in more detail.
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