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How Error-Free Is Your Doctor’s Care?

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According to the Annals of Internal Medicine, doctors make the wrong medical decisions surprisingly often.

Using a “mystery patient” technique –- in which actors pretended to be patients –- researchers found that doctors made errors in complicated cases in 60 percent to 90 percent of cases. Sixty to ninety percent. In uncomplicated cases, they made errors in nearly 30 percent of cases.

As one study participant put it, “I was shocked.”

The study took place over three years, and included more than 100 doctors in six Chicago-area hospitals. The doctors had agreed to participate in a study on medical decision making, but had no idea that they might see a patient who was actually an actor. The actors recorded their conversations with the doctors. Read more »

*This blog post was originally published at See First Blog*

The Mayo Clinic Center For Social Media: What It Represents

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In a move that may represent a new level of social health organization within large institutions, the Mayo Clinic announced that it has launched The Mayo Clinic Center for Social Media. Mayo intends to “accelerate effective application of social media tools throughout Mayo Clinic and to spur broader and deeper engagement in social media by hospitals, medical professionals and patients to improve health globally.”

Look for more information in Mayo’s press release which is diplomatically vague while at the same time lofty and enticing.

So what does this really mean?

The Mayo Clinic recognizes opportunity. The opportunity to formally offer comprehensive social media training to hospitals and medical schools is huge. The Mayo Clinic can and should leverage what they’ve done both to their own advantage and to help create a new standard for providers. While the details are forthcoming, Mayo Clinic’s manager of social and sydicated media Lee Aase tells us that Mayo wants to make available its resources, training, toolkits and legal guidelines to fledgling hospitals. Read more »

*This blog post was originally published at 33 Charts*

Internet Moderitis: A New “Social Disease”

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There’s a new profession in the Internet era, the so-called “Internet Content Reviewer.” These people check all of the submissions and uploads on huge social networking sites, review tens of thousands of pictures, and make sure only legal content is being uploaded to these communities.

It seems a new mental health, “social” disease is starting to spread: Internet Moderitis. An excerpt from a New York Times piece on the topic:

Ricky Bess spends eight hours a day in front of a computer near Orlando, Fla., viewing some of the worst depravities harbored on the Internet. He has seen photographs of graphic gang killings, animal abuse and twisted forms of pornography. One recent sighting was a photo of two teenage boys gleefully pointing guns at another boy, who is crying.

YouTube, a division of Google, is an exception. If a user indicates a video is inappropriate, software scans the image looking for warning signs of clips that are breaking the site’s rules or the law. Flagged videos are then sent for manual review by YouTube-employed content moderators who, because of the nature of the work, are given only yearlong contracts and access to counseling services, according to Victoria Grand, a YouTube spokeswoman.

 Photo credit: Stephen Mally for The New York Times

*This blog post was originally published at ScienceRoll*

Eating Meat And Gaining Weight

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A new study published in the American Journal of Clinical Nutrition is reporting an association with eating meat and weight gain. This is a fairly robust epidemiological study, but at the same time is a good example of how such information is poorly reported in the media, leading to public confusion.

The data is taken from the European Prospective Investigation into Cancer and Nutrition–Physical Activity, Nutrition, Alcohol, Cessation of Smoking, Eating Out of Home and Obesity (EPIC-PANACEA) project. This is a long-term epidemiological study involving hundreds of thousands of individuals, and is therefore a great source of data. We are likely to see many publications from from it. This one looked at the association of meat eating –- poultry, red meat, and processed meat -– with total weight. Read more »

*This blog post was originally published at Science-Based Medicine*

Can Pre-Term Labor Be Detected Earlier?

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a7nqvlgy.jpgA team of biomedical engineering masters students at Johns Hopkins have developed a device that they hope will be able to spot oncoming pre-term labor in pregnant women earlier than by using an external tocodynamometer.

The CervoCheck device is meant to be inserted into the vaginal canal/cervical opening where it then can measure electrical signals characteristic of contractions. Prototypes of the device are currently being tested in animals. We sympathize with those who have to insert them into pigs(?). Read more »

*This blog post was originally published at Medgadget*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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