How Managerialists Turned Housestaff Training into a Zero-Sum Game: the Continuing Saga of the FIRST and iCompare Studies
Conclusion: the Problem is Managerialism While the ongoing trials of housestaff sleep deprivation have been largely anechoic, the recent Washington Post commentary by Clark and Harari make questions about why in the world medical academics would have set up such trials and continue to defend them even more stark.But it seems that medical academics are boxed in, playing a zero-sum game. They may know that there housestaff are overworked and sleep deprived, a situation that endangers the housestaff and their patients. Yet every reasonable way one could imagined improving the situation would require s...
Source: Health Care Renewal - December 22, 2015 Category: Health Management Tags: academic medical centers amphetamines clinical trials generic managers managerialism medical ethics post-graduate medical education resident sleep deprivation Source Type: blogs
The agony & the ecstasy of EBM in symptom management
So, I decided I might blog a little again. Probably the occasional Journal Club of the Cloud-type posts. Christian and fellow bloggers, thank you for all you do in keeping Pallimed thriving and relevant.
So, Eduardo Bruera & colleagues at MD Anderson have published the results of their long-awaited follow-up trial to their 2006 double-blinded, placebo controlled trial suggesting that methylphenidate (MP) is no better than placebo for cancer-related fatigue (CRF).
Original 2006 trial here
New 2013 trial here
Journal of Clinical Oncology editorial on the 2013 trial here (hat tip to this editorial for pointin...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 7, 2013 Category: Palliative Carer Workers Authors: Drew Rosielle MD Source Type: blogs
