{"id":422,"date":"2011-03-22T20:20:29","date_gmt":"2011-03-23T00:20:29","guid":{"rendered":"http:\/\/blogstemp2.wpengine.com\/?p=422"},"modified":"2011-03-22T20:20:29","modified_gmt":"2011-03-23T00:20:29","slug":"practice-changing-articles-iii","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/03\/practice-changing-articles-iii\/","title":{"rendered":"Practice-Changing Articles III"},"content":{"rendered":"<p>Recent advances and discussions in medicine are the cornerstone of <em>Journal Watch<\/em>.\u00a0Here&#8217;s the third installment of the articles that\u00a0made the biggest impression on me in the\u00a0past 2 weeks.\u00a0I hope you enjoy the articles I selected.<\/p>\n<p>Please feel free to leave a comment on the articles \u2014 Do you like them? Dislike them? Agree, disagree, state your opinion, and participate in the discussion. And if you know of another recent interesting article, post a link to it. I would love to read it.<\/p>\n<p>Greg Bratton, MD<\/p>\n<p>Articles of Interest:<\/p>\n<ul>\n<li><strong><a title=\"match day\" href=\"http:\/\/www.medicalnewstoday.com\/articles\/219613.php\" target=\"_blank\">Senior Match Day Results; Residencies Up In Pediatrics, Family Medicine<\/a><\/strong> &#8211;\u00a0&#8220;<a href=\"http:\/\/www.nrmp.org\/pressrelease2011.pdf\" target=\"_blank\">Positions filled\u00a0by U.S. seniors rose by 11% in family medicine &#8230; and family medicine matches were higher for the second year straight.<\/a>&#8221;\u00a0As a nation, the\u00a0United States remains underserved in primary care, but it appears more medical students are willing to\u00a0fill the gap. Once\u00a0considered a\u00a0cast-off specialty, <a href=\"http:\/\/www.nrmp.org\/data\/2011Adv%20Data%20Tbl.pdf\" target=\"_blank\">Family Medicine residencies across the country are becoming\u00a0more and more competitive<\/a>, as evidenced by only 78 out of 453 programs not filling.<\/li>\n<li><a href=\"http:\/\/dx.doi.org\/10.1001\/archneurol.2010.356\" target=\"_blank\"><strong>Statins and Risk for Intracerebral Hemorrhage<\/strong> <\/a>&#8211;\u00a0In\u00a0recent study of survivors of an intracerebral hemorrhage, findings suggested that statin use might be associated with higher risk for intracerebral hemorrhage (ICH). &#8220;<a href=\"http:\/\/www.medscape.com\/viewarticle\/737398\" target=\"_blank\">Statin therapy was predicted to increase the baseline annual probability of recurrence of lobar ICH from approximately 14% to approximately 22%.<\/a>&#8221; Although statins are a drug with many benefits ranging from cholesterol lowering to anti-inflammatory actions to prevention of macrovascular complications in those with diabetes, this study raises a\u00a0new concern. However, until a true randomized clinical trial can be performed, we must\u00a0consider these findings.<\/li>\n<li><strong><a href=\"http:\/\/blogs.nejm.org\/general-medicine\/wp-content\/uploads\/sites\/4\/2011\/03\/gloves.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-425\" title=\"gloves\" src=\"http:\/\/blogs.nejm.org\/general-medicine\/wp-content\/uploads\/sites\/4\/2011\/03\/gloves-150x150.jpg\" alt=\"gloves\" width=\"150\" height=\"150\" \/><\/a><a href=\"http:\/\/general-medicine.jwatch.org\/cgi\/content\/full\/2011\/224\/1\" target=\"_blank\">Sterile Gloves to Obtain Blood Cultures?<\/a> &#8211;<\/strong>\u00a0Although it seems intuitive, a study published in the <em>Annals of Internal Medicine<\/em>reveals that the rate of positive blood cultures went down when sterile gloves were used. Mentioned in this review was the fact that the current guidelines from the Clinical and Laboratory Standards Institute do not require the use of sterile gloves. From personal experience, making this small procedural change would save time, money, and potential antibiotic resistance by limiting the number of &#8220;coag-negative staph in clusters&#8221; found in routine blood cultures.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Recent advances and discussions in medicine are the cornerstone of Journal Watch.\u00a0Here&#8217;s the third installment of the articles that\u00a0made the biggest impression on me in the\u00a0past 2 weeks.\u00a0I hope you enjoy the articles I selected. Please feel free to leave a comment on the articles \u2014 Do you like them? Dislike them? Agree, disagree, state [&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,5],"tags":[32,37],"class_list":["post-422","post","type-post","status-publish","format-standard","hentry","category-clinical-implications-of-research","category-journal-club","tag-pediatrics","tag-resident-experience"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v17.1.2 (Yoast SEO v20.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Practice-Changing Articles III - Insights on Residency Training<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.nejm.org\/general-medicine\/index.php\/2011\/03\/practice-changing-articles-iii\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Practice-Changing Articles III\" \/>\n<meta property=\"og:description\" content=\"Recent advances and discussions in medicine are the cornerstone of Journal Watch.\u00a0Here&#8217;s the third installment of the articles that\u00a0made the biggest impression on me in the\u00a0past 2 weeks.\u00a0I hope you enjoy the articles I selected. 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