(NB: The 3 parts will make more sense if they are read in order …) In Part 1, we considered the increased risk of cesarean […]
To Induce or Not To Induce: The 39 Weeks “Debate” (Part 2)
In Part 1, we examined the evidence that indicates that there is an increasing cesarean delivery rate with an increased rate of induction of labor, […]
To Induce or Not To Induce: The 39 Weeks “Debate” (Part 1)
At the 2016 ACOG Annual Clinical Meeting, a colloquia session debate was presented entitled: If No Elective Inductions Before 39 Weeks, Why Not Induce Everyone […]
Should We Administer Betamethasone to Women at Risk of Late Preterm Birth?
Recently, a study was published in the New England Journal of Medicine, entitled Antenatal Betamethasone for Women at Risk of Late Preterm Delivery. The authors […]
The Physician As Teacher
(Listen instead) Teaching for a good physician is a natural extension of her talents. We teach every day. We teach our patients and their families. […]
A Little Skepticism, Please
(Listen here instead) Good clinical thinking is good critical thinking. Critical thinking in medicine requires a variety of tools in our cognitive armamentarium. We must […]
A Tale of Two Teachers
(Hate reading: Listen instead!) One of the most important experiences in my life occurred when I was a freshman in High School. I was […]
Cancer Screenings and Over-diagnosis: Pick The Outcome That Matters
Source What are the principles of a good screening test? The test should identify a clinically important disease that, if left untreated, will cause significant […]
How Do I Make a Differential Diagnosis? Or, Pelvic Pain
The differential diagnosis, used appropriately, can serve as one of the most powerful de-biasing tools. When we interview a patient, review records, perform physical exam, […]
It’s Either Normal … Or It Isn’t? Watch Out For The Drift
It’s Either Normal … Or It Isn’t? Is this true? Well, yes. This black and white statement sounds false to anyone with even a little bit […]