Articles tagged with Internal Medicine
According to a study, primary care physicians earn significantly lower hourly wages compared to specialists in surgery, internal medicine, and other fields. The average annual income of primary care physicians is $187,857, which is 48% lower than that of surgeons.
Two Elsevier medical titles, Color Atlas of Clinical Hematology and Kumar & Clark's Clinical Medicine, won first prize in their respective categories at the BMA Medical Book Competition. The awards recognize the quality and expertise in these medical texts.
A new study highlights the excess burden of medical conditions on top of post-traumatic stress disorder (PTSD) in returning US soldiers. Women with PTSD suffer from more medical conditions than men, with a median value of 7 conditions compared to 4.5 in women without mental health issues.
Researchers investigated whether recent experiences with clinical problems lead to availability bias, a key contributor to diagnostic errors. Structured re-analysis of case findings was found to counteract this bias and improve diagnostic accuracy.
A study by University of Illinois College of Medicine researchers found that the order of third-year core clerkships affects performance on subject exams and overall grades. Internal medicine as the first clerkship was strongly associated with better outcomes, but not clinical performance or USMLE scores.
A simplified clinical tool has led to the reclassification of millions of Americans into different risk groups, potentially affecting their treatment. The study found that 15% of adults were reclassified, with 10% moving to higher-risk groups and 5% to lower-risk groups, leading to potential over-treatment or under-treatment.
A new study finds that US government health reforms have improved insurance coverage and reduced financial barriers to care, but failed to address disparities in access to care and self-rated health. The research suggests that health reform policies should focus on broader social determinants of health to advance health equity.
Researchers found that a low-carb diet based on animal protein may increase death risk compared to a vegetable-based diet. Additionally, patients often overestimate the benefits of percutaneous coronary intervention (PCI) and radiation-free magnetic resonance angiography (MRA) offers an accurate diagnosis for peripheral arterial disease.
A study published in Clinical Infectious Diseases found that reminder systems encouraging prompt removal of urinary catheters reduced CAUTIs by 52%. The researchers suggest that low-cost interventions like nurse-empowered catheter stop orders could be effective in reducing infections. Hospitals can implement these strategies to improve...
The Association of Specialty Professors has announced the ninth class of T. Franklin Williams Scholars, supporting research on pulmonary fibrosis, chronic kidney disease, and palliative care for older adults. Seven new investigators will join 75 previous scholars in advancing knowledge on these topics.
Researchers evaluated the long-term effects of low-carbohydrate versus low-fat diets on weight loss, serum lipid concentrations, and bone mineral density. Both groups achieved significant weight loss, but the low-carb diet produced greater increases in plasma HDL cholesterol concentration.
A significant geographic variation was found in the use of carotid endarterectomy and carotid stenting among Medicare beneficiaries, with different regions having varying rates of each procedure. Men and patients with a prior diagnosis of peripheral vascular disease were more likely to undergo carotid revascularization.
A study found that physicians' understanding of patient health beliefs is generally poor, but significantly improves when patients are more actively involved in consultations. Healthcare providers can better tailor treatment recommendations by encouraging patients to express their beliefs and concerns.
Women with severe angina are three times more likely to develop severe coronary artery disease than men. The study found that even younger women face a higher risk of developing CAD than men in the same age group. Diabetes and high blood pressure also play a significant role in increasing the risk, particularly among young women.
A new study suggests that a protein called SIRT1, found in specific neurons of the brain, is essential for maintaining normal body weight. Without this protein, mice on high-calorie diets gain more weight and are more susceptible to obesity.
A recent study by UT Southwestern researchers suggests that the brain enzyme PI3 kinase plays a key role in regulating body heat and calorie burn after consuming high-fat meals. Mice with reduced PI3 kinase activity gained weight due to impaired thermogenic response, highlighting potential new targets for combating obesity.
A survey by Mount Sinai School of Medicine found that 91% of physicians believe 'defensive medicine' is necessary due to malpractice concerns. The study suggests that tort reform can decrease unnecessary testing and rising healthcare costs.
A study published in the Journal of General Internal Medicine found that fatal medication errors peak in July at teaching hospitals where new medical residents are on duty. The authors suggest re-evaluating responsibilities and increasing education on medication safety to reduce errors.
A study published in PLoS One investigates the reliability of peer review and its influence on journal editors' decisions to publish or reject research. The results suggest that reviewers agree on manuscript disposition rates barely exceeding chance, while editor decisions are significantly influenced by reviewer recommendations.
A new article proposes a three-pronged strategy to address conflicts of interest in clinical guideline development, emphasizing intellectual and financial conflicts equally. The approach aims to balance expert insights with the avoidance of inappropriate influence from experts with financial or intellectual conflicts.
A survey of 2,058 physicians found that 17% of general internists and 4% of internal medicine subspecialists have left their practices by mid-career. The study suggests that the 'general' nature of general internal medicine may give internists more options for careers outside of medicine.
Researchers found that both men and women who had higher depression scores consumed almost 12 servings of chocolate per month. Chocolate consumption was not associated with other antioxidant-rich foods or energy intake.
Combining four unhealthy behaviors like smoking, lack of physical activity, and poor diet increases death risk. Individuals with all four behaviors had about three times the risk of dying from cardiovascular disease or cancer.
Researchers found that healthy older adults taking rosuvastatin had fewer heart problems and strokes than those not taking the medication. A high false-positive rate was associated with low-dose CT lung cancer screening, highlighting its potential harms. U.S. News rankings are criticized for relying too heavily on subjective data.
Researchers at UT Southwestern Medical Center found that leptin and insulin work together in specific neurons to regulate blood sugar levels and female fertility. The study suggests a functional redundancy between the two hormones, implying that one can compensate for the lack of the other.
The Patient Protection and Affordable Care Act (PPACA) aims to provide most Americans with access to affordable healthcare, covering over 95% of legal residents. However, the law's impact on primary care access and cost control remains uncertain, with concerns about the shortage of physicians and increasing costs.
A new study found that women and patients with dementia and diabetes are most likely to enter the Medicare Part D coverage gap, facing significant out-of-pocket drug expenses. The researchers suggest medication cost-counseling interventions for these clinically vulnerable subpopulations may be warranted.
A panel of experts concludes that P4P programs can strengthen the relationship between physicians and patients when linked to evidence-based measures. The panel emphasizes the importance of protecting scientific standards and promoting equity in healthcare delivery.
Researchers found a persistent excess risk of death after hip fractures, especially in men, which does not return to pre-fracture levels even after 10 years. Additionally, an empirical study explored the ethics of payment for kidney donation, finding no association between price and willingness to donate across income levels, but highl...
The study proposes a national model for addressing unhealthy substance use in internal medicine residents, integrating curricula into existing teaching venues. Researchers believe this approach mirrors effective clinical management and improves residency training.
A recent study published in the Journal of General Internal Medicine found that e-prescribing significantly improves ambulatory medication safety. The research discovered a nearly seven-fold decrease in prescribing errors among doctors who adopted e-prescribing compared to those using traditional paper-based prescriptions.
A survey of 381 US internal medicine residency program directors found that 61.9% report accepting pharmaceutical industry support, despite expressing it as undesirable. Acceptance was associated with lower rates of program graduates passing the American Board of Internal Medicine exam.
Studies investigate various team configurations and dynamics in hospitals to improve patient care and safety. Researchers found that effective teamwork leads to reduced medical errors and improved patient satisfaction.
Heart specialists at Michigan Medicine call for clarity on beta blocker prescribing before surgery. Previous studies have differing methods and results, making it hard to determine who should get beta blockers and at what dosage.
A new Cornell study reveals that using kitchen spoons to measure liquid medicine can lead to significant inaccuracies. Participants under-dosed by an average of 8%, while those using larger spoons over-dosed by 12%. Experts recommend using precise measuring devices instead.
Researchers found that people who quit smoking have a 70% increased risk of developing type 2 diabetes in the first six years without cigarettes compared to non-smokers. Weight gain after quitting is suspected to be the cause of this increased risk, which returns to normal after 10 years.
Researchers found that ghrelin, a hunger hormone, triggers mice to seek out pleasurable foods even when full. The study suggests that ghrelin may increase the rewarding aspects of eating, driving individuals to continue consuming high-calorie foods despite feelings of fullness.
Researchers have identified a key protein channel that helps nerve sensors regulate blood pressure. The ASIC2 channel plays a crucial role in controlling electrical activity in blood vessels, and its absence leads to high blood pressure.
Researchers at UT Southwestern Medical Center have identified distinct traits in patients with atypical progeroid syndrome (APS), a rare premature aging disorder. The study found that APS patients exhibit unique clinical features, metabolic abnormalities, and delayed onset of symptoms, potentially explaining their longer lifespan.
A University of Michigan study found that women researchers are less likely than men to secure major funding for their careers, with only 19% of women attaining an R01 grant within 10 years. The study suggests that family demands and pressures to contribute to clinical work may be hindering women's success in research careers.
The American College of Physicians has awarded the Ralph O. Claypoole Sr. Memorial Award to Dr. Melvin R. Kaplan, one of LA BioMed's founders and a renowned internist. Dr. Kaplan has dedicated his career to patient care for over 60 years.
A study found that direct-to-consumer advertising for clopidogrel led to a 12% increase in cost per unit, resulting in $40.58 added pharmacy costs per 1,000 Medicaid enrollees per quarter. Overall, this increased total pharmacy expenditures by $207 million.
Researchers found that gastroesophageal reflux disease spurs cytokine release, attracting inflammatory cells to the esophagus. This leads to damage characteristic of GERD, including symptoms like heartburn and chest pain.
Primary care visits in the US increased in quality and duration between 1997 and 2005, with average visit times rising from 18 to 20.8 minutes. Researchers attribute this increase to the growing complexity of patient populations, rather than increased efficiency.
A recent study found that undocumented foreign-born Latinos have lower levels of usual source of care, blood pressure checks, and cholesterol screenings compared to US-born Latinos. Perceived quality of care is also significantly impacted by immigration status.
A new study found that nearly half of high-risk American adults who intend to get vaccinated against seasonal flu actually do, but nearly 45% cite a perceived lack of need as the main reason for not being vaccinated. The researchers suggest that educating these individuals about the benefits of vaccination and making it more convenient...
Recent trials have shown small reductions in prostate cancer mortality, but the potential benefits must be balanced against increased diagnosis rates and treatment complications. Developing more effective decision support tools may improve discussions between men and their physicians about screening.
A recent study found that young adults are less likely to use ambulatory or preventive care, even though their mortality rate is more than twice that of adolescents. Young adults, especially black and Hispanic males, underuse ambulatory medical care and infrequently receive preventive care.
Researchers at UT Southwestern Medical Center used magnetic resonance spectroscopy (MRS) to measure pancreatic fat in humans, finding a significant correlation between fat content and diabetes risk. The study suggests that measuring pancreatic fat could be an effective clinical tool for identifying high-risk individuals.
A study of internal medicine residents found that those reporting higher levels of fatigue and distress were more likely to report medical errors. The study suggests that fatigue, sleepiness, burnout, depression, and reduced quality of life are independently associated with an increased risk of future self-perceived major medical errors.
Regular exercise is associated with increased longevity and reduced disability in older adults. The study found that physical activity can delay functional decline and improve health outcomes in those who start exercising later in life.
A study found that one in five doctors are uncomfortable working with surrogates, reporting ineffective communication and increased stress levels. The lack of clear guidelines for surrogate decision makers can lead to difficult decisions, causing distress for both physicians and families.
The Association of Specialty Professors (ASP) has announced the eighth class of T. Franklin Williams Scholars, funded by a grant from Atlantic Philanthropies and John A. Hartford Foundation. The program aims to increase internal medicine specialists' capacity in caring for elderly patients with research projects focused on geriatric as...
A study found that MRSA was present in 12.7% of hospital patients before discharge to home health care, and nearly one-fifth of infected patients transmitted the organism to household contacts. Household contacts who played a role in providing healthcare were more likely to be colonized with MRSA.
Dr. Nima Sharifi received a $375,000 grant to study genes that determine prostate cancer resistance to androgen deprivation therapy. The funding supports his laboratory's work in developing new therapies.
The IOM CER Committee recommends prioritizing research on high-priority topics, including improving the uptake of new knowledge and its translation into better decision-making. The committee aims to create a sustainable national CER initiative that can improve healthcare for individual patients and communities.
A study of 5,434 patients found that 7.1% of abnormal test results were not informed to patients or documented, with practices using paper and electronic records having the highest failure rates. Practices with better testing processes had lower failure rates and more satisfied physicians.
A study found that faculty physicians who spent more time on their most meaningful activities had lower rates of burnout. The authors suggest that career fit can be optimized by providing additional time for physicians to pursue their passions.
A study published in Menopause found a significant link between hot flashes and lower bone mineral density in women. Postmenopausal and premenopausal women with vasomotor symptoms exhibited lower lumbar and total hip bone mineral density compared to those without VMS.
Two new studies published in Annals of Internal Medicine propose an intensive disease management approach to help smokers quit successfully, including repeated or intensive interventions that include pharmacotherapy and counseling. The studies also suggest targeting healthier older patients with colorectal cancer screening and using LD...