JAMA: 2009-08-12, Vol. 302, No. 6, Author in the Room ™ Audio Interview
Interview with Thomas H. Gallagher, MD, author of A 62-Year-Old Woman With Skin Cancer Who Experienced Wrong-Site Surgery. Summary Points: 1. Errors and adverse events are common, and disclosure of these events to patients is recommended but often does not take place. 2. Physician fear of litigation inhibits disclosure, but so does physicians' lack of confidence in their communication skills and concern that disclosure might be harmful to the patient. 3. Important future developments in the field include linking disclosure with offers of compensation, and using performance improvement tools to enhance the disclosure proces...
Source: JAMA Author in the Room - September 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-08-12, Vol. 302, No. 6, Author in the Room™ Audio Interview
Interview with Thomas H. Gallagher, MD, author of A 62-Year-Old Woman With Skin Cancer Who Experienced Wrong-Site Surgery. Summary Points: 1. Errors and adverse events are common, and disclosure of these events to patients is recommended but often does not take place. 2. Physician fear of litigation inhibits disclosure, but so does physicians' lack of confidence in their communication skills and concern that disclosure might be harmful to the patient. 3. Important future developments in the field include linking disclosure with offers of compensation, and using performance improvement tools to enhance the disclosure proces...
Source: JAMA Author in the Room - September 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-07-22/29, Vol. 302, No. 4, Author in the Room ™ Audio Interview
Interview with John P. Forman, MD, MSc, author of Diet and Lifestyle Risk Factors Associated With Incident Hypertension in Women. Summary Points: 1. At an individual level, combining healthy lifestyle factors may substantially reduce the risk of developing hypertension; according to the findings of the study, women who followed 6 healthy factors had nearly an 80% reduction in risk. 2. At a population level, a large fraction of all new cases of hypertension could hypothetically be prevented if all individuals in the population followed combinations of healthy lifestyle factors; according to the findings of the study, this f...
Source: JAMA Author in the Room - September 1, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-07-22/29, Vol. 302, No. 4, Author in the Room™ Audio Interview
Interview with John P. Forman, MD, MSc, author of Diet and Lifestyle Risk Factors Associated With Incident Hypertension in Women. Summary Points: 1. At an individual level, combining healthy lifestyle factors may substantially reduce the risk of developing hypertension; according to the findings of the study, women who followed 6 healthy factors had nearly an 80% reduction in risk. 2. At a population level, a large fraction of all new cases of hypertension could hypothetically be prevented if all individuals in the population followed combinations of healthy lifestyle factors; according to the findings of the study, this f...
Source: JAMA Author in the Room - September 1, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-05-20, Vol. 301, No. 19, Author in the Room ™ Audio Interview
Interview with Charles M. Morin, PhD, author of Cognitive-Behavior Therapy, Singly and Combined with Medication, for Persistent Insomnia. Summary Points: 1. Cognitive Behavioral Therapy (CBT) is an effective treatment for chronic insomnia and can help reduce medication treatment for this condition. 2. Clinicians can be successfully trained in CBT. 3. CBT works well alone for insomnia and while medication treatment may help early in the course of this condition, it has not advantages for long term use. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - July 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-05-20, Vol. 301, No. 19, Author in the Room™ Audio Interview
Interview with Charles M. Morin, PhD, author of Cognitive-Behavior Therapy, Singly and Combined with Medication, for Persistent Insomnia. Summary Points: 1. Cognitive Behavioral Therapy (CBT) is an effective treatment for chronic insomnia and can help reduce medication treatment for this condition. 2. Clinicians can be successfully trained in CBT. 3. CBT works well alone for insomnia and while medication treatment may help early in the course of this condition, it has not advantages for long term use. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - July 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-05-06, Vol. 301, No. 17, Author in the Room ™ Audio Interview
Interview with Peter H. Hwang, MD, author of A 51-Year-Old Woman With Acute Onset of Facial Pressure, Rhinorrhea, and Tooth Pain. Summary Points: 1. There are now published consensus guidelines for the diagnosis and treatment of acute rhinosinusitis. 2. Acute viral rhinosinusitis and acute bacterial rhinosinusitis can be difficult to distinguish in the first 10 days of symptoms. 3. Radiologic imaging is often "positive" in both viral and bacterial etiologies of acute sinusitis and therefore cannot be used to distinguish the two. 4. Oral antibiotics when prescribed appropriately confer a higher rate of partial or complete r...
Source: JAMA Author in the Room - June 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-05-06, Vol. 301, No. 17, Author in the Room™ Audio Interview
Interview with Peter H. Hwang, MD, author of A 51-Year-Old Woman With Acute Onset of Facial Pressure, Rhinorrhea, and Tooth Pain. Summary Points: 1. There are now published consensus guidelines for the diagnosis and treatment of acute rhinosinusitis. 2. Acute viral rhinosinusitis and acute bacterial rhinosinusitis can be difficult to distinguish in the first 10 days of symptoms. 3. Radiologic imaging is often "positive" in both viral and bacterial etiologies of acute sinusitis and therefore cannot be used to distinguish the two. 4. Oral antibiotics when prescribed appropriately confer a higher rate of partial or complete r...
Source: JAMA Author in the Room - June 23, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-03-25, Vol. 301, No. 12, Author in the Room ™ Audio Interview
Interview with Lisa A. Cooper, MD, author of A 41-Year-Old African American Man With Poorly Controlled Hypertension. Summary Points: 1. Cardiovascular disease accounts for 35% of the excess mortality in African Americans, in large part because of hypertension. 2. Racial disparities in physicians' clinical decision-making and in quality of care for cardiovascular disease have been documented extensively; studies also show racial differences in patient-physician communication, particularly when the patient and physician come from different racial backgrounds, and unconscious racial biases among physicians. 3. A categorical a...
Source: JAMA Author in the Room - May 26, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-03-25, Vol. 301, No. 12, Author in the Room™ Audio Interview
Interview with Lisa A. Cooper, MD, author of A 41-Year-Old African American Man With Poorly Controlled Hypertension. Summary Points: 1. Cardiovascular disease accounts for 35% of the excess mortality in African Americans, in large part because of hypertension. 2. Racial disparities in physicians' clinical decision-making and in quality of care for cardiovascular disease have been documented extensively; studies also show racial differences in patient-physician communication, particularly when the patient and physician come from different racial backgrounds, and unconscious racial biases among physicians. 3. A categorical a...
Source: JAMA Author in the Room - May 26, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-03-18, Vol. 301, No. 11, Author in the Room ™ Audio Interview
Interview with Michael K. Kearney, MD, author of Self-care of Physicians Caring for Patients at the End of Life. Summary Points: 1. Burnout and compassion fatigue are fundamentally different phenomena. Understanding the difference is helpful for effective intervention. 2. Investments in self-awareness and self-care are sound business strategies that can be expected to reduce staff turnover and increase patient satisfaction. 3. Mindfulness meditation and reflective writing have both been shown to increase self-awareness and self-care. They are among a number of strategies that can be built into clinical practice to prevent ...
Source: JAMA Author in the Room - April 17, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-03-18, Vol. 301, No. 11, Author in the Room™ Audio Interview
Interview with Michael K. Kearney, MD, author of Self-care of Physicians Caring for Patients at the End of Life. Summary Points: 1. Burnout and compassion fatigue are fundamentally different phenomena. Understanding the difference is helpful for effective intervention. 2. Investments in self-awareness and self-care are sound business strategies that can be expected to reduce staff turnover and increase patient satisfaction. 3. Mindfulness meditation and reflective writing have both been shown to increase self-awareness and self-care. They are among a number of strategies that can be built into clinical practice to prevent ...
Source: JAMA Author in the Room - April 17, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-02-04, Vol. 301, No. 5, Author in the Room ™ Audio Interview
Interview with Steven A. Schroeder, MD, author of A 51-Year-Old Woman With Bipolar Disorder Who Wants to Quit Smoking. Summary Points: 1. Smoking is extremely common among persons with mental illness and exerts a huge toll in terms of morbidity and mortality. 2. We are now in the midst of a culture change. Formerly smoking was an integral part of the mental health culture and smoking cessation was not deemed pertinent. Now it is evolving into an important component of mental health and wellness. 3. Most smokers who have mental illness would like to quit. And many are able to do so, using the standard smoking cessation tech...
Source: JAMA Author in the Room - March 20, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-02-04, Vol. 301, No. 5, Author in the Room™ Audio Interview
Interview with Steven A. Schroeder, MD, author of A 51-Year-Old Woman With Bipolar Disorder Who Wants to Quit Smoking. Summary Points: 1. Smoking is extremely common among persons with mental illness and exerts a huge toll in terms of morbidity and mortality. 2. We are now in the midst of a culture change. Formerly smoking was an integral part of the mental health culture and smoking cessation was not deemed pertinent. Now it is evolving into an important component of mental health and wellness. 3. Most smokers who have mental illness would like to quit. And many are able to do so, using the standard smoking cessation tech...
Source: JAMA Author in the Room - March 20, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2009-01-14, Vol. 301, No. 2, Author in the Room ™ Audio Interview
Interview with Mary M. McDermott, MD, author of Treadmill Exercise and Resistance Training in Patients With Peripheral Arterial Disease With and Without Intermittent Claudication. Summary Points: 1. Supervised treadmill exercise improves walking performance for patients with peripheral arterial disease (PAD), whether or not the patient has classic symptoms of intermittent claudication. 2. Supervised lower extremity strength training improves quality of life, stair climbing ability, and treadmill walking performance for PAD patients with and without intermittent claudication. 3. Supervised treadmill walking exercise improve...
Source: JAMA Author in the Room - February 19, 2009 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
