With an outstanding student from Baylor College of Medicine, I co-authored an essay on some of the clinical, administrative, and ethical problems raised by student-run clinics. We suggest ways to improve things going forward. Check it out here
We were worried: that when ICU clinicians discuss patient “suffering” with patients’ family, they are using the emotionally powerful word as a way of persuading them to withhold or withdraw life support. Was our worry justified? In this study, led by Brent Kious, we analyze how clinicians and family members used the word when meeting…
Questions about when to limit unhelpful treatments are often raised in general medicine but are less commonly considered in psychiatry. Here we describe a survey of U.S. psychiatrists intended to characterize their attitudes about the management of suicidal ideation in patients with severely treatment-refractory illness. Respondents (n = 212) received one of two cases describing a patient…
Surrogates often make decisions on behalf of critically ill patients.1 Surrogate comprehension of patient survival prognosis can affect these decisions: surrogate prognostic estimates of survival that are overly optimistic compared with clinician estimates are associated with increased use of life-sustaining treatments and reduced quality of life for dying patients.2,3 … Different prognostic estimates by surrogates…
In 2012, private equity firms purchased approximately 75 physician-owned practices; by 2021, that number had risen to almost 500. However, private equity acquisitions can also lead to ethically troubling consequences. For example, to maximize the return on their investments, private equity firms sometimes pressure clinicians to see more patients, perform more procedures on those patients,…
Patients increasingly rely on web-based physician reviews to choose a physician and share their experiences. However, the unstructured text of these written reviews presents a challenge for researchers seeking to make inferences about patients’ judgments. This study aims to train, test, and validate an advanced natural language processing algorithm for classifying the presence and valence of…
With increasing frequency, patients are being asked to make complex decisions about cancer screening, prevention, and treatment. These decisions are fraught with emotion and cognitive difficulty simultaneously. In this commentary, we highlight 10 methods that have been empirically shown to improve patients’ understanding of risk and benefit information and/or their decision making. The methods range from…
How have women mid- to senior-career clinician-scientists experienced gender throughout their careers? In this qualitative interview study among 31 women clinician-scientists, participants experienced the institution of academic medicine as a male-centric system misaligned with the needs of women and people with family caregiving responsibilities. They felt that women’s needs were underrecognized and unaccommodated even in…
Adolescents with anorexia nervosa have set-shifting inefficiencies that can be exacerbated by starvation and that may interfere with outcomes of treatment interventions. Cognitive Remediation Therapy (CRT), an adjunctive treatment focused on improving set-shifting, can target inefficiencies and may augment treatment effectiveness. The best way to add CRT to the standard of care (Family Based Treatment, FBT) for adolescents with anorexia remains understudied.