JAMA: 2010-10-20, Vol. 304, No. 15, Author in the Room ™ Audio Interview
Interview with Julia Neily, RN, MS, MPH, author of Association Between Implementation of a Medical Team Training Program and Surgical Mortality. Summary Points: 1. Improved communication is associated with decreased surgical mortality. 2. Since there was a dose response relationship, this indicates that continuing follow up was related to better results. 3. Briefings and debriefings is more than a checklist, it is about the conversation. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - December 20, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-10-20, Vol. 304, No. 15, Author in the Room™ Audio Interview
Interview with Julia Neily, RN, MS, MPH, author of Association Between Implementation of a Medical Team Training Program and Surgical Mortality. Summary Points: 1. Improved communication is associated with decreased surgical mortality. 2. Since there was a dose response relationship, this indicates that continuing follow up was related to better results. 3. Briefings and debriefings is more than a checklist, it is about the conversation. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - December 20, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-10-13, Vol. 304, No. 14, Author in the Room ™ Audio Interview
Interview with Michael A. Steinman, MD, author of Managing Medications in Clinically Complex Elders. Summary Points: 1. First, a systematic approach to approaching prescribing is essential. 2. Second, an essential first step is to know what the patient is actually taking right now, and to clarify what goals you are trying to achieve by prescribing drugs. 3. Third, it is critical to individualize care based on what benefits and harms a patient is actually experiencing from their drugs. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - November 19, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-10-13, Vol. 304, No. 14, Author in the Room™ Audio Interview
Interview with Michael A. Steinman, MD, author of Managing Medications in Clinically Complex Elders. Summary Points: 1. First, a systematic approach to approaching prescribing is essential. 2. Second, an essential first step is to know what the patient is actually taking right now, and to clarify what goals you are trying to achieve by prescribing drugs. 3. Third, it is critical to individualize care based on what benefits and harms a patient is actually experiencing from their drugs. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - November 19, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-08-25, Vol. 304, No. 8, Author in the Room ™ Audio Interview
Interview with Ralph Gonzales, MD, MSPH, author of Does This Coughing Adolescent or Adult Patient Have Pertussis? Summary Points: 1. When evaluating adolescents and adults with persistent cough illness, the presence of classic symptoms of pertussis (paroxysmal cough, whooping cough, post-tussive emesis) modestly increase the likelihood of pertussis, and their absence modestly decreases the likelihood of pertussis; but they are not strong enough to rule-in or rule-out disease. 2. Most patients in whom pertussis is suspected will not derive symptomatic benefit from antibiotic treatment because their illness duration is usual...
Source: JAMA Author in the Room - October 26, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-08-25, Vol. 304, No. 8, Author in the Room™ Audio Interview
Interview with Ralph Gonzales, MD, MSPH, author of Does This Coughing Adolescent or Adult Patient Have Pertussis? Summary Points: 1. When evaluating adolescents and adults with persistent cough illness, the presence of classic symptoms of pertussis (paroxysmal cough, whooping cough, post-tussive emesis) modestly increase the likelihood of pertussis, and their absence modestly decreases the likelihood of pertussis; but they are not strong enough to rule-in or rule-out disease. 2. Most patients in whom pertussis is suspected will not derive symptomatic benefit from antibiotic treatment because their illness duration is usual...
Source: JAMA Author in the Room - October 26, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-07-14, Vol. 304, No. 2, Author in the Room ™ Audio Interview
Interview with Matthew K. Wynia, MD, MPH, author of The Role of Professionalism and Self-regulation in Detecting Impaired or Incompetent Physicians. Summary Points: At the conclusion of this activity, participants will be able to: 1. Describe the frequency with which physicians report encountering other physician who may be impaired or incompetent. 2. Explain the 3 basic options available to policy-makers for regulating and ensuring the quality of medical practitioners. 3. Name at least 3 newer mechanisms by which the profession of medicine is enhancing its ability to self-regulate and detect physicians who are not provid...
Source: JAMA Author in the Room - September 16, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-07-14, Vol. 304, No. 2, Author in the Room™ Audio Interview
Interview with Matthew K. Wynia, MD, MPH, author of The Role of Professionalism and Self-regulation in Detecting Impaired or Incompetent Physicians. Summary Points: At the conclusion of this activity, participants will be able to: 1. Describe the frequency with which physicians report encountering other physician who may be impaired or incompetent. 2. Explain the 3 basic options available to policy-makers for regulating and ensuring the quality of medical practitioners. 3. Name at least 3 newer mechanisms by which the profession of medicine is enhancing its ability to self-regulate and detect physicians who are not provid...
Source: JAMA Author in the Room - September 16, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-06-02, Vol. 303, No. 21, Author in the Room ™ Audio Interview
Interview with Patricia S. Goode, MSN, MD, author of Incontinence in Older Women. Summary Points: 1. UI is very common in older women and should be in Review of System for ALL older women. 2. Initial behavioral therapy (pelvic floor muscle exercises, urge and stress strategies, caffeine avoidance) is easy to do and should be FIRST line treatment for older women with urge and stress urinary incontinence. 3. Modifiable Contributing Factors for urinary incontinence should be addressed before prescribing antimuscarinic medications and include: urinary tract infection, constipation, diabetes control, mobility impairment, sleep ...
Source: JAMA Author in the Room - August 25, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-06-02, Vol. 303, No. 21, Author in the Room™ Audio Interview
Interview with Patricia S. Goode, MSN, MD, author of Incontinence in Older Women. Summary Points: 1. UI is very common in older women and should be in Review of System for ALL older women. 2. Initial behavioral therapy (pelvic floor muscle exercises, urge and stress strategies, caffeine avoidance) is easy to do and should be FIRST line treatment for older women with urge and stress urinary incontinence. 3. Modifiable Contributing Factors for urinary incontinence should be addressed before prescribing antimuscarinic medications and include: urinary tract infection, constipation, diabetes control, mobility impairment, sleep ...
Source: JAMA Author in the Room - August 25, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-05-26, Vol. 303, No. 20, Author in the Room ™ Audio Interview
Interview with Kenneth J. Mukamal, MD, MPH, MA, author of A 42-Year-Old Man Considering Whether to Drink Alcohol for His Health. Summary Points:1. Careful alcohol histories are needed for all patients, particularly to identify binge drinking, which is frequent among moderate and especially younger drinkers. 2. Even moderate alcohol consumption has important and plausible health effects based on short-term trials and observational studies, including lower risk of heart disease presumably via higher HDL-cholesterol and higher risk of breast cancer (presumably via higher levels of estrone and DHEA sulfates). 3. Given these po...
Source: JAMA Author in the Room - July 23, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-05-26, Vol. 303, No. 20, Author in the Room™ Audio Interview
Interview with Kenneth J. Mukamal, MD, MPH, MA, author of A 42-Year-Old Man Considering Whether to Drink Alcohol for His Health. Summary Points:1. Careful alcohol histories are needed for all patients, particularly to identify binge drinking, which is frequent among moderate and especially younger drinkers. 2. Even moderate alcohol consumption has important and plausible health effects based on short-term trials and observational studies, including lower risk of heart disease presumably via higher HDL-cholesterol and higher risk of breast cancer (presumably via higher levels of estrone and DHEA sulfates). 3. Given these po...
Source: JAMA Author in the Room - July 23, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-04-28, Vol. 303, No. 16, Author in the Room ™ Audio Interview
Interview with David B. Carr, MD, author of The Older Adult Driver With Cognitive Impairment. Summary Points: 1. Know how to assess a cognitively impaired older driver in the office setting. 2. Know how and where to refer at-risk cognitively impaired older drivers. 3. Know how to counsel cognitively impaired older drivers in regards to driving retirement. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - June 17, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-04-28, Vol. 303, No. 16, Author in the Room™ Audio Interview
Interview with David B. Carr, MD, author of The Older Adult Driver With Cognitive Impairment. Summary Points: 1. Know how to assess a cognitively impaired older driver in the office setting. 2. Know how and where to refer at-risk cognitively impaired older drivers. 3. Know how to counsel cognitively impaired older drivers in regards to driving retirement. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - June 17, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2010-04-07, Vol. 303, No. 13, Author in the Room ™ Audio Interview
Interview with Roger Chou, MD, author of Will This Patient Develop Persistent Disabling Low Back Pain? Summary Points: 1. A small proportion of patients with acute LBP go on to develop chronic LBP, these patients account for a very high proportion of costs, services, and suffering. 2. The most helpful items to predict persistent disabling low back pain are presence of maladaptive pain coping behaviors, nonorganic signs, functional impairment, general health status, and presence of psychiatric comorbidities. 3. Early identification of patients with these risk factors could help guide early use of psychological therapies and...
Source: JAMA Author in the Room - May 21, 2010 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
