Features Practice

Incorporating Guidelines Into Clinical Practice: An Interview With Gary L. LeRoy, MD

By September 18, 2018

Despite their advantages, many clinicians do not necessarily agree with the centrality or content of CPGs. Others — especially primary care physicians (PCPs) — are overwhelmed by the vast and ever-increasing numbers of guidelines issued by multiple societies.

Should You Record Your Patient Encounters? An Interview With Dr James Ryan

By July 24, 2018

Patients are increasingly recording physician visits on their phones, should physicians do the same. MPR spoke with physician who advocates for recording in clinical practice.

Harmful Internet "Challenges" and Teens: A Guide for Primary Care Providers

July 12, 2018

Discussions involving Internet challenges with children and adolescents should be as sensitive as those about sexuality and drug or alcohol use.

Why Medicine Leads the Professions in Suicide, and What We Can Do About It

June 06, 2018

One recent survey found that 42% of US physicians are burned out, with rates of 38% among men and 48% among women. The authors here suggest that clinicians are encouraged to care for human beings, not merely to manage health information.

Consensus Guidelines for the Prevention of Postoperative Nausea and Vomiting

May 30, 2018

The latest Consensus Guidelines for the Management of PONV (CGM-PONV) recommend an assessment of a patient's baseline risk for PONV using a validated risk score based on independent predictors.

Controversial New Research Changes the Narrative on Hans Asperger

By April 20, 2018

Medical records of 48 children examined by Asperger show that he specifically called for 12 of the children to be transferred to the Am Spieglegrund facility, the 'euthanasia' institution founded in 1940.

Addressing Sensitive Topics With Patients: An Interview With Windel Stracener, MD

By February 14, 2018

"Patients must feel that you are empathetic and do not judge them. This is key not only to discussing weight, but to any subject that comes up," said Dr Windel Stracener, a family practitioner for 22 years.

Tips for Optimizing Patient Encounters While Tackling EHR Tasks

By January 03, 2018

A recent study of 2237 hospital- and office-base physicians found that most respondents regarded EHRs as having a negative effect on both the quantity and the quality of time they spent with patients.

The Art of Treating Challenging Patients: An Interview With Karen Broquet, MD

By November 21, 2017

Monthly Prescribing Reference spoke with Karen Broquet, MD, MHPE, Associate Dean for Graduate Medical Education and Professor, Departments of Internal Medicine and Psychiatry, Southern Illinois University School of Medicine, Springfield.

Diagnosing and Treating Exocrine Pancreatic Insufficiency

By July 17, 2017

A recent opinion piece by Struyvenberg et al. aims to address the existing myths, remove the current confusion, and function as a practical guide to the diagnosis and treatment of EPI.

From Treatment to Training: 5 Uses of Virtual Reality in Healthcare

June 27, 2017

Virtual reality is much more than just a new form of entertainment, it is increasingly being used in a wide range of medical applications.

Patient Experiences Severe Paralysis After Trigger-Point Injection Therapy

By June 22, 2017

Initially, the patient experienced no complications. But approximately 12 hours following therapy, he awoke with shortness of breath and functional quadriplegia.

Genetics Should Play a Bigger Role in Clinical Decision-Making

June 21, 2017

As home genetic testing grows, patients will be bringing their results to physicians for reaction and response. Physicians will need to be proactively prepared.

Adolescent Immunization Initiative Puts Focus on Vaccines at 16 Years of Age

June 20, 2017

A subtle but significant change took place in the 2017 adolescent immunization schedule when the Advisory Committee on Immunization Practices (ACIP) created a separate column just for 16-year-olds.

Next Steps for HCV Patients Post-SVR: Best Practice Recommendations

By May 16, 2017

A clinical practice update for patients who have achieved a sustained virologic response following antiviral treatment for HCV infection.

Clinicians Discuss the Pros and Cons of Medical Scribes

By May 04, 2017

The use of scribes has garnered a generally positive research base for being effective in improving clinician satisfaction. Nevertheless, there are concerns regarding a potentially negative impact on the physician-patient relationship.

Cause Celeb: How Star Power Impacts Public Health

By March 16, 2017

It is important not to be annoyed or dismiss celebrity-recommended remedies, as this can weaken the physician-patient relationship, especially "in cases of strong celebrity adoration."

Drugs Often Overlooked as a Cause of Chronic Diarrhea

By February 09, 2017

Over 700 drugs have been associated with causing diarrhea.

From Resolutions to Results: Strategies for Helping Patients Reach Their Health Goals

By January 24, 2017

Patrice Harris, MD, Chair, AMA Board of Trustees, discusses how clinicians can help patients stay on track and keep their New Year's Resolutions.

Conversations for Health: An Innovative Educational Tool for Reducing Antibiotic Overuse

By January 10, 2017

Conversations for Health, an innovative simulation, offers clinicians the ability to engage in role-play conversations about antibiotics with virtual patients as a way to build competency to effectively lead them in real-life.

OPIAD Management Requires a Multidisciplinary Care Team Approach

By December 13, 2016

Despite initial recognition of opioid-induced androgen deficiency (OPIAD) as a possible consequence of opioid use more than four decades ago, few studies have systematically investigated hormonal changes induced by long-term opioid administration.

Pharmacological Management of Bipolar Depression

By November 16, 2016

The primary goals of therapy in bipolar depression are to achieve complete remission, decrease the risk of suicidality, maintain and/or improve quality of life (QOL) and functioning, and prevent affective switches from depression to mania.

Review: Vitamin K Supplementation

November 15, 2016

In addition to its role in hemostasis, vitamin K plays a pivotal role in the metabolism of calcium in the human body.

Six Popular Supplements Used for Diabetes Management

By October 21, 2016

Although use of dietary supplements is not always recommended, it is best for clinicians to be knowledgeable about the safety and efficacy data surrounding them in order to assist patients who choose to use them.

Reducing Diagnostic Errors: Time, Technology May Help

August 23, 2016

When a person goes to the doctor, there's usually one thing they want: a diagnosis. Once a diagnosis is made, a path toward wellness can begin. In some cases, diagnoses are fairly obvious. But in others, they aren't.

Psoriasis and Cardiovascular Disease: Do Biologics Help Reduce Risk?

By June 15, 2016

The reasons for higher rates of MI among patients with psoriasis remain unclear.

Is 'Touch' on Its Way Out in Contemporary Healthcare?

May 24, 2016

Novelist and physician Abraham Verghese has argued that touching is one of the most important features of the patient-physician interaction.

The Theranos Story Reminds the Medical World of its Greatest Burden: Proof

April 22, 2016

The last few months have witnessed the unraveling of the remarkable life sciences company Theranos, culminating in the latest news that federal regulators may ban founder Elizabeth Holmes from the blood-testing industry for at least 2 years.

Treatments for Low Back Pain: Examining the Evidence for Efficacy

April 12, 2016

What are the comparative benefits and harms of different pharmacologic therapies?