Archive for August, 2013

August 28th, 2013

Vaccination Against Pertussis – Is It Worth the Trouble?

 “Four out of four!” exclaimed a proud PGY1 as she handed me the billing sheet for her last patient in continuity clinic. “Four out of four?” asked I. “Yes, I gave all of my patients their updated Tdap today,” she boasted. As her preceptor, I commended her for her commitment to routine health maintenance — you […]


August 23rd, 2013

Teaching Ultrasound to Internal Medicine Residents

Welcome, everyone! I am thrilled at the prospect of sharing with you my thoughts on issues that pertain to residency training during the current academic year. I recently attended the Fundamentals of Critical Care Ultrasound course hosted by the Society for Critical Care Medicine (SCCM). It was well attended by a mix of intensivits, anesthesiologists, […]


August 19th, 2013

Managing Hypertension – Not as Easy as It Once Seemed

Hypertension… As a medical student, I never really understood the fuss over it. Practicioners had an excellent and concise guide in the JNC-7 to handle all of the major aspects of this disease. The JNC-7 guidelines were algorithmic, and a helpful table of compelling indications for antihypertensive agents couldn’t make life any easier. I soon […]


August 13th, 2013

Broad Is Best? The Culture and Etiquette of Antibiotic Selection in the Training Environment

Friends and colleagues, welcome to the new academic year! I am delighted to be a chief resident blogger for NEJM Journal Watch for the coming year. Without further ado, let’s discuss residents’ use of antibiotics. Antibiotic selection can either be one of the most anguishing or most mindless decisions that an internal medicine resident makes. […]


August 2nd, 2013

A Time of Transition

August is here, and we are deep in the throes of a new academic year.  With this annual cycle, we deal with transitions in the academic medical world – many of which seem somewhat painful at first glance but, on closer inspection,  actually can be quite fun.  Many of you in medical training undoubtedly have moved into new roles: […]