retired doc's thoughts

The April 24, 2006 issue of the Archives of Internal Medicine published a study from Australia that examined the effects of a twice daily ...

I recently posted on Dr. Faith Fitzgerald's principaled stand against pay for performance(P4P). Ironically in the same issue of Internal...

Dr. Faith Fitzgerald,professor of Medicine at UC Davis, speaks out against P4P in the April 13,2006 issue of Internal Medicine News.(www.in...

Thankfully,more and more authors of medical journal articles are pointing out the obvious- single disease guidelines applied by role to com...

I have to give credit to Medscape for publishing arguments against pay for performance (P4P) in the form of a point-counterpoint piece. Dr. ...

What would be better than a RCT? Answer- a RCT that makes a comparison between realistic alternatives. This issue was the subject of a insig...

Probably most people and likely many physicians have never even heard of QICs. Here is their website where we learn that the QIC program is...

Health Care Renewal recently referenced a symposium on Disease Mongering (DM) and the full text essays are now available on the PLOS websi...

Medical Journals sometimes publish POEMs-which in this context stands for "Patient Oriented Evidence that Matters". The criteria f...

The updated and long awaited guidelines from the American Academy of Neurology are available on line in full text. Their previous guidelin...

Bronchodilator drug trials and often clinical followup have focused on the changes in the forced expiratory volume in one sec (FEV1) to judg...

Dr. RW's post referencing Dr. Herb Fred's editorial in the Texas Heart Journal generated several negative responses in KEVINMD...

The restriction of work hours for residents has lead to complaints from several fronts and concerns from both sides of the Atlantic. Aggrava...

The March 27,2006 issue of the Archives of Internal Medicine published an article that happily tended to confirm some of my biases. ( "...

I believe everyone should read HEALTH CARE RENEWAL everyday but a recent post exceeds that blog's high standards. The article is entit...

The March 16, 2006 issue of NEJM published an article reporting the results of applying RAND's Quality Indicators ( some 439 of them) ...

Having grown up medically in halls and wards of Big Charity, news items and blocs about it attract me immediately. The March 15,2006 issu...

The March 12, 2006 issue of the Archives of Internal Medicine has an interesting article on the issue of syncope and carotid sinus hypersen...

A pre-publication release from the NEJM on line gives us the results of 2 randomized trials (RCTs) which investigated the effects of trea...

I blogged previously that a key maxim that medical students should have branded into their brains is " Every one does not react in the...