Published in Journal of general internal medicine
General medicine consultation services (GMCS) are perceived as providing routine services in perioperative patient management for referring surgeons. Their potential contributions to improving patient care and resident education have not been well defined. Review of the first year of GMCS in a university teaching hospital showed that only 57% of th...
Published in Journal of general internal medicine
Quality of life considerations may be an important factor in medical decisions, but it is not known how well physician's assessments match those of their patients. The authors studied the assessments of elderly inpatients (n = 65) and their physicians (n = 50) concerning patient quality of life and resuscitation decisions for the patients' current ...
Published in Journal of general internal medicine
Although clinical information provided to the interpreter of imaging tests may improve disease detection, it may also bias the interpreter towards certain diagnoses, increasing the chance of false positives. To determine the possibility of this bias, the authors studied patients who were referred for echocardiography with a clinical suspicion of en...
Published in Journal of general internal medicine
Published in Journal of general internal medicine
Because of recent concerns about conflicts of interest and published research, the author analyzed 107 controlled clinical trials. Studies were classified as favoring either a new therapy or a traditional therapy, and as being supported by a pharmaceutical manufacturer or as being generally supported. Seventy-one per cent of the trials favored new ...
Published in Journal of general internal medicine
Published in Journal of general internal medicine
Published in Journal of general internal medicine
Published in Journal of general internal medicine
Observer variability in the pulmonary examination was assessed by having four blindfolded observers (two medical students and two pulmonary physicians) twice examine 31 patients with abnormal pulmonary findings. Examiners were consistent in the repetitive detection of pulmonary abnormalities in 74-89% of the examinations; conversely, 11-26% of the ...
Published in Journal of general internal medicine
In this study of 208 patients attending a Primary Care Medical Clinic of a metropolitan teaching hospital, objective measurements were used to assess the effect of discontinuous care as a result of resident turnover on patient appointment-keeping behavior. A change of resident resulted in no significant difference in return visit failure rate, subs...
