Poor mental health is common among medical students. In response, some medical schools have implemented wellness interventions. The University of Florida College of Medicine recently introduced a mind-body medicine elective, Promoting Resilience in Medicine (PRIMe), based on the Georgetown University School of Medicine course. PRIMe teaches meditation techniques including mindfulness,…

Inflammatory bowel disease (IBD) is an umbrella term comprising Crohn’s disease (CD) and ulcerative colitis (UC). The onset of IBD is typically in the second or third decade of life; the diseases are lifelong and incurable. The prevalence of IBD in adults in the United States is estimated to be…

Increasing evidence supports the safety and effectiveness of managing low-risk deep vein thrombosis (DVT) or pulmonary embolism (PE) in outpatient settings. We performed a systematic review to assess safety and effectiveness of managing patients with DVT or PE at home compared with the hospital. Medline, Embase, and Cochrane databases were…

The prevalence and correlates of sleep apnea (SA) among Veterans with chronic kidney disease (CKD), a population at high risk of both SA and CKD, are unknown. We performed a cross-sectional analysis of 248 Veterans (18-89 years) selected only for presence of moderate to severe CKD. All participants underwent full,…

Cold snare polypectomy (CSP) is associated with higher rates of complete resection compared with cold biopsy forceps (CBF) for the removal of small polyps (4-9 mm). This study aimed to evaluate self-reported polypectomy preferences and actual practice patterns among endoscopists at an academic center and to identify factors associated with…

With implementation of the Affordable Care Act and core requirements from the Accreditation Council for Graduate Medical Education, directors of graduate medical education (GME) programs must create robust ambulatory teaching environments for residents. Success requires effective recruitment, remuneration, and retention of high-quality ambulatory faculty. The recent AAIM Perspectives…

The impact of palliative care (PC) has long been known to improve patient and provider satisfaction, quality of life, symptoms, and end-of-life outcomes.1,2 Literature also demonstrates that inpatient PC significantly decreases acute care hospitalizations and readmissions, emergency department and urgent care visits, deaths…

A recently published article highlighted using “the bucket list” as a simple framework to engage patients about their health care decision making and its potential impact on the patient’s life goals.1 This week I was consulted to see a patient who declined stem cell transplantation for leukemia,…

The COVID-19 pandemic has required an unprecedented global healthcare response requiring maintenance of existing hospital-based services while simultaneously preparing for high-acuity care for infected and sick individuals. Hospitals must protect patients and the diverse healthcare workforce by conserving personal protective equipment and redeployment of facility resources. While each…

Although many health care institutions believe that clinical peer review is vital for identifying and improving quality of care, peer review is perceived by many clinicians as variable and inherently punitive. Successful peer review requires institutional leadership and adoption of a just culture approach to investigating…