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.”
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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.”
Annals of Family Medicine
NOVEMBER 20, 2024
Context: Sickle cell disease (SCD) was identified as one of our hospital's most common causes of readmission. 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.
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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.
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.
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.
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.
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.
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. On the morning of my last final, I went into cardiac arrest and was admitted to Moffitt Hospital,” she said.
The Medical Futurist
JUNE 21, 2025
Large language models will soon find their way in to everyday clinical settings , simply because the global shortage of healthcare personnel is becoming dire and AI will lend a hand with tasks that do not require skilled medical professionals. Current medical AIs only process one type of data, for example, text or X-ray images.
Physician's Weekly
JUNE 14, 2025
Researchers conducted a retrospective study to examine the prevalence and risk factors of coercive measures in open inpatient wards of a Swiss university psychiatric hospital. They analyzed the use of seclusion and restraint from 2017 to 2019.
Medical Xpress
APRIL 9, 2023
Targeted testing for HIV in emergency departments has great potential for increasing diagnoses, this year's European Congress of Clinical Microbiology & Infectious Diseases (ECCMID) in Copenhagen, Denmark, (15-18 April), will hear.
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.
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 (..)
PEMBlog
SEPTEMBER 20, 2023
The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Kelly Levasseur, DO Children’s Hospital of Michigan Detroit, MI, USA docklevasseur@gmail.com Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca
Medical Xpress
APRIL 19, 2025
Found in every hospital and many clinics, they give doctors a fast and detailed look inside the bodyhelping to diagnose everything from cancer and strokes to internal injuries. CT scans are a vital part of modern medicine. But a new study suggests there may be a hidden cost to our growing reliance on this technology.
Today's Hospitalist
MAY 9, 2025
OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. Yet this expansion has come with a significant administrative burden, particularly that of clinical documentation. This isn’t about replacing your clinical judgment. The result?
The Medical Futurist
JUNE 17, 2025
Artificial intelligence Already, dentists employ software to get insights into clinical decision-making, but AI is changing the face of dentistry, just like it is in many other fields. But AR also found a home in dentistry for both educational and clinical purposes. This means faster results and less guesswork.
Physician's Weekly
JUNE 14, 2025
Eligible participants were individuals with dementia (diagnosed or suspected), aged ≥ 72 years, receiving 1 or more antidepressants, and residing in a nursing home associated with the participating physician.
Medical Xpress
MARCH 2, 2023
Although investigators have made strides in detecting signs of Alzheimer's disease using high-quality brain imaging tests collected as part of research studies, a team at Massachusetts General Hospital (MGH) recently developed an accurate method for detection that relies on routinely collected clinical brain images.
The Clinical Problem Solvers
APRIL 24, 2024
While in medical school, the virtual morning reports, Clinical Problem Solvers, unleashed his passion for solving complex patient cases. Meeting hospitalized patients and working with them to achieve diagnostic clarity is his primary clinical passion. The blend of medicine and pharmacy will markedly benefit patients.
The Clinical Problem Solvers
JANUARY 17, 2024
Hospital of Cook County, Chicago. He relishes being the CPSolvers team member, as solving cases and generating differential diagnoses are his biggest passions. You will frequently find him sharing clinical cases on VMR. Stroger Jr.,
Common Sense Family Doctor
MAY 1, 2025
A retrospective analysis of characteristics of 15 consecutive years of code stroke cases at a hospital in Barcelona, Spain, found that patients who were ultimately diagnosed with migraine headache with aura (1.1%) were more likely to be younger, female, and have fewer vascular risk factors than patients with ischemic strokes.
Physician's Weekly
JUNE 26, 2025
from Cleveland Clinic Florida in Weston, and colleagues examined features and outcomes of isolated primary CRC compared to CRC presenting in a sequence of multiple primary cancers in a retrospective cohort study. Anjelli Wignakumar, M.B.B.S., The longest overall survival and cancer-specific survival were seen for Group B (50.4
Physician's Weekly
JUNE 24, 2025
Take influenza, which annually sends from 140,000 to 710,000 people to hospitals, most of them seniors, and is fatal to 10% of hospitalized older adults. Compared with the standard flu shot, the enhanced vaccines reduced the risk of hospitalization from the flu in older adults, by at least 11% and up to 18%.
The Clinical Problem Solvers
APRIL 19, 2020
He wishes to thank Dr. Juan Lessing for his amazing mentorship and inspiring his interest in clinical reasoning – and introducing him to Rabih and Reza! The patient disclosed that he had recently consumed large amounts of calcium carbonate for his abdominal pain, and he was diagnosed with the milk alkali syndrome.
The Clinical Problem Solvers
APRIL 23, 2020
Logan Jones “Logan” Jones is a PGY-3 at OHSU in Portland, and will be joining the faculty as an assistant professor in the Division of Hospital Medicine with an academic focus on student assessment, curricular innovation, learner scholarship, clinical reasoning, and EMR proficiency.
The Medical Futurist
JUNE 21, 2025
In 2016, The Guardian reported that a blind woman suffering from this disease was fitted with the implant labelled “bionic eye” in the UK as part of a trial at the Oxford Eye Hospital. Experts even say the eye is an ideal place to start for the first clinical use of CRISPR. That must have been truly amazing!
Physicians Alliance of Connecticut
MAY 6, 2025
It’s home to many reputable healthcare employers, from private practices like the Physicians Alliance of Connecticut to major hospital systems like Yale New Haven Health. Residents can access top hospitals, vibrant communities, and many lifestyle amenities, including parks, museums, and restaurants.
Physicians Alliance of Connecticut
MAY 20, 2025
The demand for medical office assistants is growing in clinics, hospitals, and private practices, including here at PACT. They support patients and clinical staff by handling the essential administrative tasks that keep healthcare facilities running smoothly. What Does a Medical Office Assistant Do?
Physician's Weekly
JUNE 16, 2025
Upshaw, MD , and colleagues developed an anonymous electronic survey they emailed to 12 academic medical systems, three US lymphoma cooperative groups, and two community hospitals, and distributed at one international lymphoma meeting. 44% of respondents would order an echocardiogram only if heart failure signs or symptoms developed.
Physician's Weekly
JUNE 16, 2025
The study included 4,858 persons aged 20 years or older when diagnosed with pathologically confirmed primary AA (nonmucinous, mucinous, goblet cell, or signet ring cell carcinoma) from 1975 to 2019. Holowatyj, Ph.D., Twenty-one overlapping birth cohorts were created using five-year age groups and time periods (1891-1899 to 1991-1999).
PEMBlog
MAY 27, 2025
Published in The Lancet Child & Adolescent Health , thisprospective cohort study of over 2200 childrenacross 73 Emergency Departments in 14 countries developed and validated clinical prediction models to help clinicians distinguishmildCAP frommoderate or severecases, and ultimately guide decisions about hospital admission.
PEMBlog
JANUARY 21, 2025
Differentiating these pathogens based on clinical presentation is crucial for targeted management, minimizing unnecessary diagnostic tests, and optimizing healthcare resources. Secondary bacterial pneumonia: Characterized by clinical deterioration after an initial period of improvement.
The Clinical Problem Solvers
MAY 14, 2020
Decisions have been dichotomized to ”COVID versus not COVID,” and people that have displayed none of the cardinal respiratory symptoms are being diagnosed with the disease. Many parts of the country are currently experiencing dramatic surges in cases, with entire hospitals in New York being dedicated to the care of COVID-19 patients.
PEMBlog
MARCH 4, 2025
Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work. Learning Objectives Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations.
Physician's Weekly
JUNE 25, 2025
I’m the Vice Chairman of Rheumatology at the Cleveland Clinic and the co-director of the Center for Vasculitis Care and Research. And I’m here today to talk about giant cell arteritis in clinical practice. If there’s visual symptoms, patients are often hospitalized for high dose intravenous symptoms.
GeriPal
MARCH 14, 2024
And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.
Vida Family Medicine
JUNE 28, 2024
If you have already been diagnosed with any medical conditions, write down all of the diagnoses you have. Thankfully, in the direct primary care model we are able to schedule patients for as long as they need and keep availability for our members, so we can do all of this and still run on time in clinic.
PEMBlog
MAY 20, 2025
In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin ( jennifer.marin@chp.edu ) from UPMC Childrens Hospital of Pittsburgh. So here to help us navigate these complex decisions is Dr. Jennifer Marin.
PEMBlog
MAY 1, 2025
In this episode, we tackle the clinical mischief of Parvovirus B19 , a common viral infection with a surprisingly wide range of manifestationsfrom the classic slapped cheek rash of erythema infectiosum to aplastic crises in children with hemolytic anemias and fetal hydrops in pregnant contacts. So how do we diagnose Parvovirus B19?
GeriPal
OCTOBER 13, 2022
We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed – if removal is likely to worsen disparities for example – at least until a superior race-blind calculator can be developed). So you’re right.
PEMBlog
SEPTEMBER 27, 2023
The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca Reasons to not order a comprehensive respiratory viral panel (i.e., for bronchiolitis and 1.5% isolation for SARS-CoV-2).
The Clinical Problem Solvers
DECEMBER 3, 2019
G is a 66-year-old woman with a past medical history of insulin-dependent diabetes and peripheral artery disease admitted from clinic with concern for left ankle and foot cellulitis. She has been evaluated three times over this period, and each time she was diagnosed with cellulitis. Pseudomonas , MRSA, ESBL).
GeriPal
JULY 19, 2024
Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.
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