When doctors forget how to examine: the danger of lost clinical skills
KevinMD
JUNE 20, 2025
An older woman with osteoporosis fell at home, developed back pain, then went to urgent care and was diagnosed with a “muscle strain.”
Understanding components of Maternal Diet among those diagnosed with Gestational Diabetes and/or Hypertension in Flint, MI [Community based participatory research]
Annals of Family Medicine
NOVEMBER 20, 2024
Despite an important role in disease development, few have described maternal diet of those diagnosed with GDM/GHTN. The current study explored differences in maternal diet based on diagnoses of GDM and/or GHTN. Objective: The objective was to understand differences in maternal diet by diagnoses of GDM and/or GHTN.
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Portable Assay Offers Rapid, Low-Cost TB Diagnoses
Physician's Weekly
JUNE 19, 2025
A novel, portable assay can deliver TB diagnoses in under an hour at low cost using samples of blood, saliva, or sputum, according to a recent study. Changes in assay results for serum isolated during treatment were also highly predictive of clinical response,” the authors noted.
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Bup-ing Up Residency: A Dose of Change for OUD Care [Education and training]
Annals of Family Medicine
NOVEMBER 20, 2024
Objective This study aimed to increase educational experiences for residents to increase comfort with diagnosing OUD and prescribing buprenorphine. It included training in OUD diagnosis and management with modules, medication assisted therapy (MAT) clinics, inpatient addiction psychiatry rotations and didactic lectures.
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Adherence Labeling: Understanding the Origins, Limitations, and Ethical Challenges of "Diagnosing" Nonadherence [Theory]
Annals of Family Medicine
MAY 27, 2025
Promoting adherence to medical recommendations remains one of the oldest yet most persistent challenges of modern clinical practice.
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AI Model Can Aid Physicians in Skin Cancer Diagnoses
Physician's Weekly
JUNE 17, 2025
Siyuan Yan, from Monash University in Melbourne, Australia, and colleagues developed PanDerm, which was pretrained through self-supervised learning on more than 2 million real-world skin disease images from 11 clinical institutions across four imaging modalities. percent across 128 skin conditions on clinical photographs.
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Project ECHO Rheumatology - Rationale and Results from a Multi-Method Study to Capture Impact [Musculoskeletal and rheumatology]
Annals of Family Medicine
NOVEMBER 20, 2024
Launched in 2017, Project ECHO Rheumatology (‘ECHO’) has welcomed over 500 primary care clinicians provincially to learn about rheumatic disease diagnoses and management. Methods We adopted a multi-method study design, where qualitative and quantitative components of this study were conducted.
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Assessment of Project ECHO(R) Opioid Use Disorder Sessions for Primary Care Teams [Education and training]
Annals of Family Medicine
NOVEMBER 20, 2024
Study Design and Analysis: PC teams (clinical and non-clinical roles) attended 12 online monthly OUD sessions. Population studied: PC teams (clinical and non-clinical roles). Participants were more confident in screening and diagnosing, harm reduction, and motivational interviewing.
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Understanding Barriers to Congenital Syphilis Prevention and Care Through Provider and Patient Perspectives [Infectious diseases (not respiratory tract)]
Annals of Family Medicine
NOVEMBER 20, 2024
Objective This study explores barriers to CS prevention and care by investigating perspectives from prenatal healthcare providers and mothers of diagnosed infants. Population Studied The study included ten physicians and advanced practitioners and seven mothers who had delivered infants diagnosed with CS.
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Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]
Annals of Family Medicine
NOVEMBER 20, 2024
Multivariate analyses were conducted to evaluate adjusted hazard ratios for various demographic, clinical, and comorbid factors at the onset of the disease and after a 10-year follow-up period. Population: Jewish CHS members, aged 18+, diagnosed with T2D between 2000-2011, born in Israel or Ethiopia.
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The T-Connector Approach: a simultaneous method for in-office assessment of home blood pressure monitor accuracy [Hypertension]
Annals of Family Medicine
NOVEMBER 20, 2024
Context Hypertension Canada recommends home blood pressure monitors (HBPM) for diagnosing and managing hypertension. This makes determining HBPM accuracy of great clinical importance, but there is no established method of doing so in the office. Setting Kaye Edmonton Clinic Family Medicine Clinic and a hypertension research lab.
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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner
The Clinical Problem Solvers
OCTOBER 23, 2019
Welcome, Clinical Problem Solvers, to our first post in the “Clinical Reasoning Corner,” where we will take a deeper dive into key concepts that shape how we think through cases. The “Clinical Reasoning Corner” will provide an introduction to the topics that keep our reasoning rooted in the core principles of clinical problem solving.
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Sickle Cell Crises: A Deep Dive into Patterns of Readmissions at an Academic Medical Center [Health care services, delivery, and financing]
Annals of Family Medicine
NOVEMBER 20, 2024
Study Design: Retrospective single-site cohort study of patients diagnosed with SCD (ICD10 codes starting with D57) from Jan 2020 to December 2023. Data were extracted from Vizient’s clinical database. Setting or Dataset: AMC Population studied: Adults and children admitted with SCD.
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Lessons, Message, and Recommendations from Latina Survivor of Cervical Cancer for Healthcare Teams and Providers [Health care disparities]
Annals of Family Medicine
NOVEMBER 20, 2024
Study design and analysis: To fill this gap, we leveraged an innovative qualitative approach for understanding the rich experiences of middle age older Latina women diagnosed with cervical cancer in the Pacific Northwest.
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Bipolar Depression Drives Higher Costs in Old Age
Physician's Weekly
JUNE 22, 2025
They implemented the study across 4 psychiatry departments in Madrid, Spain, involving individuals aged over 60 years who accessed inpatient or outpatient psychiatric services and were diagnosed with Major Depressive Disorder (MDD), recurrent depressive disorder, bipolar depression, or dysthymia.
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Hydrops MRI Accurately Differentiates Meniere Disease, Vestibular Migraine
Physician's Weekly
JUNE 23, 2025
MONDAY, June 23, 2025 (HealthDay News) — The combination of cochlear endolymphatic hydrops (CEH) and vestibular endolymphatic hydrops (VEH) on magnetic resonance imaging (MRI) accurately diagnoses Meniere disease (MD) and vestibular migraine (VM), according to a study published online May 13 in Frontiers in Neurology.
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Clinical Strategies and Challenges of Psychiatrists in Accra, Ghana [Behavioral, psychosocial, and mental illness]
Annals of Family Medicine
NOVEMBER 20, 2024
While Ghana has made rigorous efforts to expand psychiatric care for hard-to-reach communities, there is limited knowledge about the experiences of the country’s psychiatrists regarding their current clinical approaches and the barriers they face in delivering care. Conclusions.
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Discovery might explain why women are more likely to be diagnosed with clinical depression than men
Medical Xpress
DECEMBER 12, 2022
institutions, has found a possible RNA-related clue that might explain why approximately twice as many women are diagnosed with chronic depression as men. A team of researchers at the Icahn School of Medicine at Mount Sinai, working with colleagues from several other U.S.
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Type 1 diabetes: First clinical trial of GABA/GAD in newly diagnosed, very young children
Medical Xpress
FEBRUARY 22, 2023
For the first time, humans with newly diagnosed type 1 diabetes, or T1D, have received two treatments called GABA and GAD that have shown promise in animal studies and in isolated human pancreas islets. This investigator-initiated clinical trial, published in Nature Communications, focused exclusively on children with recent onset T1D.
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How differences in diagnoses of mental disorders might affect clinical research outcomes for antipsychotics
Medical Xpress
JANUARY 10, 2023
This practice improves the corresponding clinical outcomes and helps maintain uniformity and common communication. Clinicians from across the globe regularly revise disease definitions to be on the same page as far as the diagnosis of these disease goes.
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Episode 254: Clinical Unknown with Drs. Kumfer, Rezigh, and Woc-Colburn
The Clinical Problem Solvers
SEPTEMBER 1, 2022
Rezigh presents a case of fever in a patient newly diagnosed with HIV to Dr. Woc-Colburn. His clinical interests include medical education and clinical reasoning. She is a renowned medical educator and has a wide range of clinical interests including tropical medicine, HIV, and fungal diseases.
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Clinical Reasoning Corner: Likelihood Ratios
The Clinical Problem Solvers
FEBRUARY 9, 2020
Clinical Reasoning Corner: Likelihood Ratios By Jack Penner Welcome back, Clinical Problem Solvers! Thank you for reading the latest post in our “Clinical Reasoning Corner”, where we discuss key clinical reasoning principles that shape how we think through cases.
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Clinical trial shows significant disease-free survival for patients diagnosed with non-small cell lung cancer
Medical Xpress
JANUARY 31, 2023
New data from a Yale Cancer Center-led clinical trial shows improved rates of survival and reduced risk of recurrence in patients taking osimertinib, a targeted therapy for non-small cell lung cancer (NSCLC). NSCLC is the most common type of lung cancer, and for patients diagnosed with more advanced disease stages, cases tend to recur.
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Using medical knowledge graphs in smart applications for clinical diagnoses and more
Medical Xpress
JANUARY 31, 2023
A medical knowledge graph is a specific way that researchers can organize and display information for use in medical research and clinical applications. The concept of a knowledge graph was originally developed by Google in 2012 as part of their search algorithm.
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Zen and the Art of Doctoring
A Country Doctor Writes
MAY 31, 2025
Doctors are trained to diagnose, prescribe, and perform with efficiency and precision. In modern clinical environments, the fragmentation of care into ever-smaller specialties can lead to loss of coherence. This presence transforms routine care into something meaningful for both patient and practitioner.
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Episode 234: WDx #16 – Clinical Unknown with Dr. Alexandra “Jay” Teng
The Clinical Problem Solvers
APRIL 20, 2022
After college, she worked at UCSF as a clinical research coordinator and patient navigator for women newly diagnosed with breast cancer, helping them prepare questions for their doctor and accompanying them to appointments. That experience helped convince her to pursue medicine.
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Experts Redefine Obesity With New Diagnostic & Treatment Framework
Physician's Weekly
JUNE 17, 2025
An expert panel recently sought to establish objective criteria for diagnosing and treating obesity, aiming to support clinicians and guide public health strategies. People with confirmed obesity status should be assessed for clinical obesity. Timothy Garvey, MD, and colleagues.
Advancing Biomarker Validation for Drug Hypersensitivity
Physician's Weekly
JUNE 16, 2025
Biomarkers for drug hypersensitivity reactions show promise, but most require validation for clinical use, according to members of the EAACI Task Force. Biomarkers for drug-induced immune reactions aid clinicians in diagnosing, risk-stratifying, and managing diseases.
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Brain tumor clinical trial: Failed Alzheimer's drug that boosts effect of radiotherapy to be tested in humans this year
Medical Xpress
JANUARY 19, 2023
Cancer researchers in Spain are set to launch a clinical trial this year testing a new combination radiotherapy treatment for brain tumors. A combination of chemoradiotherapy and azeliragon, a drug working as a RAGE inhibitor, will be tested in newly diagnosed glioblastoma patients in a new phase I/II clinical trial based in Spain.
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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives
The Clinical Problem Solvers
DECEMBER 16, 2020
Nwamaka Eneanya and Jennifer Tsai to discuss the limitations and harms of race-based medicine in clinical practice. Our guests explain how we can incorporate race-conscious medicine in clinical settings, medical education, and biomedical/epidemiological research to responsibly recognize and address the harms of racial inequality.
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Endometriosis: How to diagnose and manage this complex condition
Medical Xpress
MARCH 13, 2023
A new clinical review published in CMAJ (Canadian Medical Association Journal) provides an overview of the causes, diagnosis and management of endometriosis based on the latest evidence, to help clinicians and patients.
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Breaking ICD Codes: Identifying Ambiguous Respiratory Infection Codes via Regional Diagnosis Heterogeneity [Original Research]
Annals of Family Medicine
JANUARY 27, 2025
PURPOSE We aimed to analyze regional variations in the assignment of International Classification of Diseases, 10th Revision (ICD-10) codes to acute respiratory infections, seeking to identify notable anomalies that suggest diverse diagnoses of the same condition.
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How Does Amazon Clinic Compare with Direct Primary Care?
The Direct Doctors Difference
AUGUST 9, 2023
As physicians, our 8+ years of training are focused on understanding what symptoms could be related to what diagnoses and helping patients navigate the many possibilities and narrow it down with appropriate testing and treatment to better understand what their final diagnosis may be.
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Dual-Energy CT Advances Arthritis Imaging
Physician's Weekly
JUNE 22, 2025
The single-center study, published in the June 2025 issue of Arthritis & Rheumatology, investigators assessed the effectiveness of contrast-enhanced dual-energy CT (CE-DECT) in detecting and differentiating rheumatic joint diseases of the hand. They consecutively enrolled patients with suspected hand arthritis during standard clinical care.
AI Tool Shows Promise for Improving Early Detection of Tardive Dyskinesia
Physician's Weekly
JUNE 18, 2025
AI-powered screening shows promise for improving early detection of tardive dyskinesia, highlighting its potential to ease the clinical workforce burden. Early detection of [tardive dyskinesia (TD)] allows the deployment of effective interventions to mitigate morbidity,” researchers wrote in The Journal of Clinical Psychiatry.
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Online Management of Menstrual Irregularities in Canada
Dr. Zaar
MAY 20, 2025
How Online Platforms Diagnose Menstrual Issues Most virtual platforms start with a comprehensive medical history form. Some clinics even offer home-testing kits for convenience. Treatment Options Through Virtual Clinics Once diagnosed, treatment options vary based on the root cause.
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The association between BNT162b2 vaccinations and incidence of immune-mediated comorbidities [COVID-19]
Annals of Family Medicine
NOVEMBER 20, 2024
Therefore, our objective was to examine the association between vaccination and the incidence of autoimmune diagnoses in the first year after vaccine uptake. Results Increased risk for immune-mediated diagnoses following vaccination with BNT162b2 was observed for psoriasis in all age groups (HR 1.41-1.69),
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Dementia complicates cancer care, increasing risk of poorer clinical outcome and patient experience
Medical Xpress
FEBRUARY 2, 2023
Pre-existing dementia complicates cancer care and increases the risk of worse clinical outcomes and inferior patient experience, according to a review of studies exploring the intersection of dementia and cancer.
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Panel develops first-ever clinical diagnosis guidelines for MOGAD, which can affect brain, spinal cord, optic nerves
Medical Xpress
FEBRUARY 16, 2023
An international panel led by a pediatric neuroimmune expert and co-director of the Neuroscience Center at Children's Hospital of Philadelphia (CHOP) has established new criteria for properly diagnosing myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD), a neurological disorder that causes inflammation and potential damage of the (..)
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Primary Care Provider Perspectives at an Academic Medical Center: Are Telemedicine Visits as Effective as In-person Care? [Survey research or cross-sectional study]
Annals of Family Medicine
NOVEMBER 20, 2024
Objective: To assess provider perceptions of the clinical effectiveness of telemedicine video visits, immediately post-encounter, compared to in-person visits. Setting: Providers across six Northern California clinic sites surveyed over an 8-week period (March 21-May 16, 2023). Outcome Measures: Self-reported Likert-scale responses.
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Evaluation of the Aloft Collaborative Behavioral Model [Screening, prevention, and health promotion]
Annals of Family Medicine
NOVEMBER 20, 2024
The Aloft model focuses on brief, short term, evidence-based psychotherapy interventions at varying levels of intensity, making it possible to tailor the intervention based on clinic needs. Population Studied: Adult and pediatric primary care clinics. Clinical measures include rate of diagnoses, medication changes, PHQ9.
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Development of a framework for transferring tests evaluated in secondary care to primary care settings: a Delphi study [Research methodology and instrument development]
Annals of Family Medicine
NOVEMBER 20, 2024
Objective: To achieve consensus on prioritizing criteria for selecting tests that are used in SC and not yet in PC, but that have clinical potential in PC. The first part asks future users to describe the diagnostic situation, e.g. the target patient population, differential diagnoses and potential for improvement in the diagnostic pathway.
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You don’t need X-Rays to tell if a child is constipated
PEMBlog
SEPTEMBER 20, 2023
Constipation is a clinical diagnosis and does not require testing, yet as many as 70% of children who are given a diagnosis of constipation in the emergency department have an abdominal x-ray completed. The diagnosis of constipation should be made based on a good history and clinical exam. 2017;186:87-94.e16. PMID: 28457526.
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Autism rates have exploded. Could the definition be partly to blame?
NPR Health - Shots
JUNE 26, 2025
Part of the reason why may be that autism diagnoses have soared over the last few decades. Could the clinical definition of autism itself be partly to blame? Kennedy, Jr. has spent years spreading doubt about the safety of vaccines and linking them to autism. Frances says that expanded definition played a role in the increase.
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