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William H. Frishman, M.D.

Reform in House Staff Working Hours and Clinical Supervision

  When we were medical interns (WHF and JSA), training in 1969, the weekday work schedule on the ward services was 36 hours on and 12 hours off. Every other weekend, there was a shift from Saturday morning to late Monday afternoon, 56 straight hours. We were off 1 Sunday every 2 weeks. There were […]

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Career-Focused Mentoring for Early-Career Clinician Educators in Academic General Internal Medicine

  Clinician educators (CE) serve vital roles in academic medicine by providing clinical care, applying educational theory to practice, training future physicians, producing scholarship, serving as administrators, and consulting with other professionals.1 Clinician educators in general internal medicine work in outpatient and inpatient settings, some as hospitalists. Despite their essential contributions, clinician educators face challenges in […]

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Cardiologists Receive Little Nutrition Education in Med School (video)

Writing in the American Journal of Medicine, Devries et al reported that “a large proportion of cardiovascular specialists have received minimal medical education and training in nutrition, and current trainees continue to experience significant education and training gaps.” In the video, AJM Editor-in-Chief Joseph S. Alpert, MD, suggests that nutrition education might be more important […]

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The United State of Medicine: Healing Identity Confusion

Having uniquely evolved the ability to communicate via speech, humans developed communally shared sounds, which collectively comprise language to represent objects as well as abstract ideas. Although these shared sounds are meant to convey shared meanings, the continuous process of history often changes how those meanings are interpreted and sometimes invalidates the original purpose. For […]

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Global mortality rates in males due to cardiovascular disease; originally published jointly by the World Health Organization in collaboration with the World Heart Federation and World Stroke Organization in 2011 as part of the Global Atlas On Cardiovascular Disease Prevention and Control; permission granted by World Heart Federation, November 14, 2017 and World Health Organization, November 23, 2017 (Permission access number 243602).

The Deficit of Nutrition Education of Physicians

Globally, death rates from cardiovascular disease are increasing, rising 41% between 1990 and 2013, and are often attributed, at least in part, to poor diet quality. With urbanization, economic development, and mass marketing, global dietary patterns have become more Westernized to include more sugar-sweetened beverages, highly processed foods, animal-based foods, and fewer fruits and vegetables, […]

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A Roadmap for Research on Resident Well-Being

Although well-being lacks a universally agreed-upon definition, it is generally understood to include both the presence of positive elements (eg, engagement, happiness, quality of life, meaning and fulfillment, and physical health) and the absence of negative elements (eg, physical illness, depression, anxiety, and burnout).1 In recognition of the challenges to well-being faced by residents during the […]

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