Notes from Dr. RW

According to this paper we’re not doing a very good job, despite the fact that it may provide the only opportunity for timely liver transpla...

The American Heart Association (AHA) and the American College of Cardiology (ACC) have improved their guideline development process by writi...

Concerning my post about Rivaroxaban, Retired Doc said: Good point about the dose of enoxaparin.I need to say more about that having made po...

Rivaroxaban ( Xarelto ), an oral direct factor Xa inhibitor, was superior to enoxaparin ( Lovenox ) for VTE prophylaxis in patients undergoi...

---have just been rolled out (H/T to Wachter’s World ). Here’s my take on a few of the hospital goals . (I’m not sure which ones are change...

Health care facility related infections have a history of being measured. Recently, certain ones have been shown to be largely preventable. ...

This study from Clinical Infectious Diseases demonstrated failure to prescribe an anti-MRSA agent not only empirically on day one but also a...

Two academic leaders in hospital medicine, Dr. Mark Williams and Dr. Robert Centor (our own DB ) debated the model in the current issue of A...

In response to one of my posts on the Medscape CME controversy a commenter, Supremacy Claus , said this: This point is missing from the disc...

Draconian policy measures have unintended consequences. Proponents of measures against industry supported CME should sustain a burden of pr...

I’m a little late with this, but the AMA proposal to eliminate industry supported CME went down in flames . Pathobilia cited the arguments ...

Articles based on NIH funded research will now be required to be available as open access in Pub Med Central . Via VUMC Reporter .

This condition, reviewed in Hospital Physician, is one of the more frustrating disorders to treat. It can sabotage the best laid plans for ...

My last post on the hospitalist as a Swiss Army knife drew this comment: I agree that being a hospitalist is being a Swiss Army knife, but I...

In my post Tuesday about the growing assault on industry supported CME I briefly mentioned Daniel Carlat’s attack against Medscape. Charact...

A senior executive with the Society of Hospital Medicine (SHM) left a comment on one of my posts in which I said SHM needed to make career s...

For a long time I’ve been warning readers (as in this post ) about the movement afoot to limit doctors’ CME options. Recently this McCarthy...

With missed diagnosis getting more respect these days a whole new category of adverse events is subject to being redefined as “medical error...

If you can’t shut ‘em down you may as well laugh. Here’s a sample patient comment buried in the archives : He claimed that a tooth was the c...

When Bob Wachter gave Grand Rounds at UT-Houston (you can find his presentation in the archives here ) he noted that hospitalists have becom...