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AMA: Burnout Is Causing an Increasingly Serious Physician Shortage
In a related development to the rollout of the CDC’s new “Impact Wellbeing” program, the American Medical Association is warning that physician burnout is causing well-trained clinicians to leave their medical careers, leading to a physician shortage that is about to get much worse.
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Health Worker Burnout Is a Crisis; CDC Calls for Science-Based Steps to Improve Worker Well-Being
It is hardly a news flash to providers and staff in the ED that they often work long hours in a highly stressful environment, but according to new research from the Centers for Disease Control and Prevention, the levels of fatigue and burnout that all healthcare workers are experiencing have reached crisis levels, and administrators there are calling for urgent action to address the problem.
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To Activate the Cath Lab?
The ECG in the figure was recorded on a patient with new chest pain that began one hour earlier. How would you interpret this ECG? Should the catheterization lab be activated, given the history and this ECG?
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Tirzepatide Injection (Zepbound)
The U.S. Food and Drug Administration has approved tirzepatide for chronic weight management. The drug previously was approved for the treatment of type 2 diabetes under the trade name Mounjaro.
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Time of Day Affects the Probability of Antibiotic Initiation for Hospitalized Patients with Sepsis
In this retrospective cohort study of patients with hospital-onset sepsis, the probability of antibiotic initiation was lowest at shift changes and gradually declined overnight compared to during the day shift.
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Antibiotic Stewardship vs. Diagnostic Stewardship for Reducing Unnecessary Antibiotics in Asymptomatic Bacteriuria
A statewide quality study compared antibiotic stewardship to diagnostic stewardship for hospitalized patients with asymptomatic bacteriuria. It found that reducing urine cultures decreased unnecessary antibiotic prescribing better than antibiotic stewardship.
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The Natural History of Aortic Stenosis Revisited
A large multi-institution observational study of patients referred for Doppler echocardiography to assess for aortic stenosis has shown that discrepant measurements are not uncommon. When four-year all-cause untreated mortality is considered, the intermediate grades of aortic stenosis behave like the next highest level stenosis, which suggests that we should consider intervening earlier in moderate to severe stenosis.
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Aerobic Exercise Effective for Erectile Dysfunction
Exercising for 30 minutes or more three times a week is effective for improving erectile function.
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The Benefits and Challenges of Telemedicine for Mental Health
It is well-known that telehealth provided a much-needed service in 2020 and following, especially as people desired to stay in their homes while addressing health concerns. The same is true for mental healthcare. However, did the increase in tele-mental health visits translate into a higher quality of care?
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Making Sense of the CMS Discharge Planning Rule
Working to maintain compliance with Centers for Medicare & Medicaid Services rules is a challenge. But when the messaging seems confusing or inconsistent, the task is that much more difficult.