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Position Statement on Measurement Based Care

Integrated Care News by CFHA

MBC is presented not simply as data collection, but as a dynamic, evidence-based clinical process that enhances outcomes, promotes equity, and strengthens team-based care. Rather, it is an evidence-based, collaborative process that mirrors the well-established framework of using physical symptom monitoring (e.g., Carlier, I.

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How Mental Health & SUD Bias Impact ED Physical Care

Physician's Weekly

Mental health and SUD bias impact the quality of ED care that patients with these conditions receive for physical health concerns, according to research. Embedding a psychiatric registered nurse or SUD counselor can decompress boarding and free physicians to manage medical presentations. Co‑locate behavioral teams. Clarify ED scope.

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Shaping First-Line Therapy Decisions in PsA

Physician's Weekly

It presents in different ways. It presents across multiple domains of disease. So for example, peripheral arthritis, enthesitis dactylitis, skin involvement, axial disease, no one PSA patient presents the same exact way. PSA, psoriatic arthritis is a heterogeneous disease.

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You don’t need X-Rays to tell if a child is constipated

PEMBlog

The diagnosis of constipation or fecal impaction should be made primarily by history and physical examination, augmented by a digital rectal examination when indicated. Lack of utility of abdominal x-rays in the evaluation of children with constipation: Comparison of different scoring methods. 2017;186:87-94.e16. PMID: 28457526.

Diagnosis 122
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Using technology to reclaim our time

Today's Hospitalist

At its core, the technology utilizes sophisticated speech recognition to transcribe a conversation in the exam room or at the bedside. By removing the need to constantly look at a screen or type notes, we can be more present and engaged, fostering stronger therapeutic relationships and improving patient satisfaction.

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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Objectives Define likelihood ratios and their utility in diagnostic reasoning Identify how likelihood ratios alter the probability of a diagnosis Apply likelihood ratios in clinical reasoning What are likelihood ratios and how do they work? There are multiple physical exam findings associated with ascites including: Bulging flanks (LR = 1.9)

Clinic 52
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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

Many of the children you will evaluate during your shift are among the estimated 10 million United States (US) ED visits made by children with asthma, bronchiolitis, and croup, the most common pediatric respiratory conditions presenting to acute care settings. Evaluation of the utility of radiography in acute bronchiolitis.

Asthma 52