We will highlight narratives written by trainees describing 1 unnecessary care resulting in harm or harm that was narrowly avoided or 2 the misdiagnosis of patient preferences 11 that subsequently. Posts about diabetes mellitus written by aaron neinstein, md. Polypharmacy in the elderlywhen good drugs lead to bad outcomes. A randomized trial to evaluate primary care clinician. Browse the independents complete collection of articles and commentary on jama internal medicine. Choose from used and new textbooks or get instant access with etextbooks and digital materials. In an inspiring essay on her philosophy on art and medicine she wrote. Instructions for authors jama internal medicine jama network instructions for authors contact monica mungle for help if edits are needed to the top section. He created and leads the choosing wisely stars program in the united states. Assistant dean for health care value, department of medical education.
Using teachable moments to reduce overuse choosing wisely. This article series launched in 2014 and is intended to educate medical trainees about the harms that result from overuse and underuse of. Annals of internal medicine, philadelphia, pennsylvania. Is medical marijuana the answer to americas prescription. Southgates straightforward and factfilled discussion of the artist and the. Boardcertified in endocrinology, clinical informatics, and internal medicine, i maintain an active clinical practice in endocrinology and lead the design, development, and implementation of innovative digital health solutions. He co authored the book understanding valuebased healthcare. Unc press books understanding health inequalities and justice.
These manuscripts describe an important issue in clinical medicine, public health. Redberg, md, msc, editor, university of california. Polypharmacy in the elderlywhen good drugs lead to bad. Each teachable moment manuscript should include a clinical vignette. Identifying teachable moments for health behavior counseling in primary care. Pieter cohen, md internist, cambridge health alliance. Thirtyyear study shows women who breastfeed for 6 months or more reduce their diabetes risk kaiser permanente analysis finds protective effect of breastfeeding after accounting for other risk factors.
It covers all aspects of internal medicine, including cardiovascular disease, geriatrics, infectious disease, gastroenterology, endocrinology, allergy, and immunology. Most of the time i dont hear about race or religion in medicine but often enough i do have interactions with patients about my religion that make me wince. We would like to show you a description here but the site wont allow us. You can use it to subscribe to this data in your favourite rss reader or to display this data on your own website or blog. Peter ubel, md, is the senior author for an online first research letter in the category of health reform in jama internal medicine. All the latest breaking news on jama internal medicine. A mixedmethods study of patientprovider communication. Instructions for authors jama internal medicine jama network.
Therese southgate served as cover editor, choosing them and writing incisive commentary on the work. Jama internal medicine has published two related dietary studies and a commentary online. Medical rounds as a paradigm for education article in mind brain and education 81 march 2014 with 41 reads how we measure reads. Editor jama internal medicine, teachable moments section. Now, a new jama internal medicine study looking at the effectiveness of cognitive behavioral therapy for insomnia cbti in patients who also have depression, chronic pain, andor other health issues, suggests that treating sleep problems either first or concurrently. Lung cancer screening lcs is now recommended for people at high risk of dying from lung cancer. Interviews with authors of articles from jama internal medicine.
Recorded and produced by jama editors for jamaevidence, an innovative online resource for using evidence to improve care. A related series in the journal called teachable moments features narratives written by trainees about episodes. The teachable moment series is designed to encourage trainees at all levels to submit articles that bring attention to the harms that can result from medical overuse and from underuse of needed medical interventions. It was established in 1908 as the archives of internal medicine and obtained its current title in 20. Explain outcomes or measurements unfamiliar to a general medical. Teachable moment manuscripts should present an illustrative case of inappropriate underuse or overuse of medical care that resulted in harm. Some time should be spent on walking the residents through the process of developing a quality improvement project, including sharing any local data on the various topics of interest to the residents. Deborah j cohen, elizabeth c clark, peter j lawson, brad a casucci, susan a flocke patient education and counseling 2011, 85 2. Two new studies published in the journal jama internal medicine link legal marijuana with fewer opioid prescriptions under medicaid and medicare. This teachable moment shows that the current model of neglecting an underlying. Teachable moments are wonderful articles authored by trainees, encouraging them to submit a clinical vignette entitled story from the front lines that brings attention to the harms that can result from medical overuse and from underuse of needed medical.
To the editor in a teachable moment published in a recent issue ofjama internal medicine, uberoi and colleagues maintained that the use of magic mouthwash for the symptomatic. The intended audience for this module is internal medicine residents. Jama internal medicine published online may 20, 2019. Breast cancer is a frequently diagnosed cancer and a leading cause of death in women. If your institution subscribes to this resource, and you dont have a myaccess profile, please contact your librarys reference desk for information on how to. The art of jama is the first such collection and features 100 covers chosen from those that were published from 1974 to 1987. Thirtyyear study shows women who breastfeed for 6 months. Jama internal medicine features a popular series called less is more to highlight situations when overuse of medical care may result in harm and less care is likely to result in better health. This will ensure that all moments of the procedure are captured in full view and focus. The institute of medicine iom has defined quality as the extent to which health services increase the likelihood of desired health outcomes and are consistent with current professional knowledge evidence based medicine. Teachable moments and less is more series in jama internal medicine. Increased physical activity associated with lower risk of. About the jama forum jama has assembled a team of leading scholars, including health economists, health policy experts, and legal scholars, to provide expert commentary and insight into news that involves the intersection of health policy and politics, economics, and the law.
He regularly speaks nationally on topics related to educating clinicians about healthcare value. Instructions for authors jama internal medicine jama. Though this is true of a book for laymen, it is not so important. In another instance i saw a patient after a large surgery. The purpose of this study is to use the lcs decision. Dietary studies, commentary in jama internal medicine. Neel shah and chris moriates from our costs of care team were two of the founding editors for the teachable moments series in jama internal medicine. He is a member of the american college of cardiologys choosing wisely subcommittee and is a teachable moments editor for jama. Any medical book which declares itself complete is sure to be out of date before it has gone to press.
These covers along with the essays were collected into books that you can find on amazon. The author intended this book for those who have definite responsibilities regarding the health of school children. States with medical marijuana laws on the books saw 24. Listen to jama internal medicine author interviews episodes free, on demand. A monthly series of discussions of core issues in evidencebased medicine by leading practitioners in the field. Jama internal medicine official site jama internal medicine is pleased to launch a new subsection of perspectives, teachable moments, time survival guide 20172015 drexel college of student technology survival guide for academic year 2017 college of medicine many of these resources are linked from this technology survival guide.
Since 2011 he has been the only expert advisor in internal medicine of the danish health authority. Two new studies link legal marijuana with fewer opioid. A new series to encourage trainees at all levels to submit articles that bring attention to the harms that can result from over testing, over diagnosis and overtreatment of medical care. What are the longterm health benefits of quitting smoking. Annals of internal medicine is the flagship medical journal of the american college of physicians acp. This teachable moment examines the case of a woman in her 50s with a. Jama internal medicine author interviews listen via. Instructions for authors jama network open jama network. In a recent edition to jama internal medicines teachable moment series, srikanth nagalla, md, and the coauthors of thrombophilia testing in provoked venous thromboembolism presented a case in which a 52yearold woman with hypertension and type2 diabetes had groin pain after a fall and received anticoagulation therapy and thrombophilia testingeven though evidence recommended against the testing. Southgate to assemble the covers and essays into a book.
Quitting smoking reduces the risk of cancer and many other diseases, such as heart disease and copd, caused by smoking. He is a founding editor for the teachable moments series in jama internal medicine. July 1, 2017 issue of jama internal medicine jama network. Each jama forum entry expresses the opinions of the author but does not necessarily reflect the views or opinions of. Teachable moments, a new focus in jama internal medicine, is an attempt to improve recognition among trainees at all levels of the harms that result from the overuse of health care services. Medical overuse is defined as the provision of healthcare services whose potential for harm exceeds benefit. Hundreds of previous studies have examined associations between physical activity and cancer risk and shown reduced risks for colon, breast, and endometrial cancers. Within a few years of quitting, people will have lower risks of cancer, heart disease, and other chronic diseases than if they had continued to smoke. Criteria for clinician participation included 1 being a family medicine or general internal medicine physician or nurse practitioner who, 2 provided care for adults 3 in a communitybased practice i. Young physician of the year, american college of physicians, colorado chapter 2015 elaine cleary award educator of the year, division of general internal medicine, university of colorado school of medicine 2015. Teachable moments and missed opportunities for smoking cessation counseling in a hospital emergency department. I introduced myself and asked him how he was doing. Home general internal medicine gim training and education osler housestaff training guyatt gh, rennie d.
Harms of cigarette smoking and health benefits of quitting. Initiating opioid agonist treatment for opioid use disorder in the inpatient setting. Eating a mediterranean diet supplemented with extra virgin olive oil was associated with a relatively lower risk of breast cancer in a study of women in spain, according to an article published online by jama internal medicine. January 1, 2018 issue of jama internal medicine jama network. The first study, which is accompanied by a commentary, examined whether an individuals consumption of food derived from subsidized food commodities was associated with cardiometabolic risks. Jeong yun yang, sophia chiu, mona krouss jama internal medicine 2018 may 1, 178 5. He is a series editor for the teachable moments series in jama internal medicine, and is an associate editor for the ahrq patient safety network.
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