Start Strong, Finish Weak - Attending Shift Productivity

Start Strong, Finish Weak - Attending Shift Productivity

Attending physician productivity peaks at the beginning of the shift, starting with about 3 new patients in the first hour and decreases as the shift progresses.  This has important implications for staffing models.  Assuming a simple, uniform average over the shift won't work.

Just Drunk or Critically Ill?

Just Drunk or Critically Ill?

One percent of patients presenting with acute alcohol intoxication eventually needed critical care admission.  Be wary of abnormal vital signs, hypoglycemia, or the need for additional chemical sedation, as these were associated with an increased odds of needing the ICU in such people.

Dear CMS - Saying No Doesn't Make Me a Bad Doctor

Dear CMS - Saying No Doesn't Make Me a Bad Doctor

This may come as a shock, but when you tell patients no, it negatively impacts patient satisfaction.  But that doesn't make you a bad doctor, regardless of what CMS says.

Hidden Dangers of Your Smartphone

Hidden Dangers of Your Smartphone

This article is a sobering reminder that mistakes with online activity can cost one's career.  We know the obvious blunders, but this editorial explores 3 more subtle ways our smartphones could damage our reputations.

Is There Such Thing as a Black Cloud?

Is There Such Thing as a Black Cloud?

There is no such thing as a "black cloud."  Those who self-identified as a black-cloud were also identified as such by their peers, but a look at the actual PED metrics showed no statistical difference except higher admission rate.  I'm not sure I believe this, but there you go...

She's My Surgeon - Female vs. Male Surgical Outcomes

She's My Surgeon - Female vs. Male Surgical Outcomes

Female surgeons had small but significantly improved 30-day mortality and other surgical outcomes over male surgeons, all other factors being equal.

Member Login
Welcome, (First Name)!

Forgot? Show
Log In
Enter Member Area
My Profile Sign up to get full access. Log Out