Notes from Dr. RW

Ever since variation was declared to be an enemy of medicine there has been a multifaceted unrelenting effort to constrain the autonomy of c...

Hospital medicine has changed. The change has been brought by business and regulatory pressures rather than the core values of internal med...

  In its original notion, yes.   In its widespread popular distortion, no.  Harriet Hall explains.    

From a recent study : We analyzed advance care planning (ACP) billing for adults aged 65 years or above and who were...

Atul Gawande has a piece in the New Yorker titled Why Doctors Hate their Computers . The title is deceptive. In the first place doctors ...

From the document : Policy Recommendations 1.National stakeholders should work together to create legal ...

Concerns for what we today refer to as social justice seemed to dominate the responses in this small qualitative study .  

Here are some findings from a recent JAMA Network Open study : Importance Patient failure to disclose medically relevant infor...

Jamie Koufman seems to think so . Her solution? Let primary care docs be the gatekeepers who control access to speci...

I am a close follower of the Emergency Medicine Literature of Note blog . The author, Ryan Radecki, takes a skep...

There’s hope .

Medical Newspeak .

But I thought science was inherently self-challenging. To Dr. John’s credit, though, he does make some good points about the thought poli...

---according to a policy wonk at one progressive think tank. So, says he, we must apply pressure from all sides to break up ...

Another of the articles in JAMA’s theme issue on COI makes a case that the focus of concern has been wrong: Much c...

Not only that, it results in lower physician ratings .  From a recent paper in JGIM: Objective To determin...

And be sure you line up on the correct side. Berwick .

There’s an interesting article in the Journal of Hospital Medicine on what to do when a patient wants to leave the hospital...

Hospitalists will be obsolete as the hospital care team continues home care via telemedicine and putting patients to death w...