Career Plans of US Physicians After the First 2 Years of the COVID-19 Pandemic
To assess the career plans of US physicians at the end of 2021 relative to 2011 and  2014. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Tait D. Shanafelt, Liselotte N. Dyrbye, Colin P. West, Mickey Trockel, Michael Tutty, Hanhan Wang, Lindsey E. Carlasare, Christine A. Sinsky Tags: Original article Source Type: research

Politicization of Medical Care, Burnout, and Professionally Conflicting Emotions Among Physicians During COVID-19
To evaluate the association of politicization of medical care with burnout, professional fulfillment, and professionally conflicting emotions (eg, less empathy, compassion; more anger, frustration, resentment). (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Christine A. Sinsky, Mickey Trockel, Lindsey E. Carlasare, Colin P. West, Hanhan Wang, Michael Tutty, Liselotte N. Dyrbye, Tait D. Shanafelt Tags: Original article Source Type: research

Adrenal Gland Solitary Fibrous Tumor
A man in his 70s was found to have an adrenal mass, for which he underwent adrenalectomy. Histopathologic examination revealed a solitary fibrous tumor within the adrenal gland (Figure  1). (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Rumeal D. Whaley, Jeremy Molligan, Lori A. Erickson Tags: Path to patient image quiz Source Type: research

Clinical Significance of Viral Sociology Emerges as Influenza Season Collides With COVID-19 Pandemic
Recently, public concerns have been growing about the new reality that COVID-19 will complicate the seasonal influenza epidemics, causing the overlapping flu –COVID-19 pandemic (Figure). The overlapping flu–COVID-19 pandemic may increase the risk of flu–COVID-19 coinfection that leads to the critical illness of COVID-19.1,2 Understanding this issue will improve the preparedness for influenza season and reduce the overall burden of the COVID-19 pand emic. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Ming Zheng Tags: Letter to the editor Source Type: research

Regarding Racial and Gender Differences in Medical Student Burnout: A 2021 National Survey
We read the recent report of Briggs et  al1 on medical student burnout with great interest. Supporting medical students by creating and sustaining learning environments within which they can thrive should be an imperative in medical education. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Colin P. West, Liselotte N. Dyrbye, Tait D. Shanafelt Tags: Letter to the editor Source Type: research

In Reply: Regarding Racial and Gender Differences in Medical Student Burnout: A 2021 National Survey
We thank West et  al for their letter to the Editor in response to our previously published report on medical student burnout in the United States.1 They raised the well-appreciated point about the many definitions and metrics for physician burnout and consequently how care must be taken in comparing results across studies. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Logan G. Briggs, Grant J. Riew, Michael W. Seward, Jack F. Donaghue, Jae Ermer, Bruno T. Scodari, Kerri Palamara Tags: Letters to the editor Source Type: research

Six Decades of Philatelic Vignettes: In Honor of Dr Robert A. Kyle ’s Contributions to Medicine and Stamps
In philately, the “vignette” is the central design or picture of a postage stamp—distinct from the lettering and from any framing. This term was first used by book publishers. It is a diminutive of the French word vigne (vine), since foliage motifs including grapes and vines were once the most common printed de signs used to fill in blank spaces in books, and to denote the beginning and end of chapters. “Vignette” acquired a variety of other meanings in different fields from theater to graphic design. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: David P. Steensma, Thomas E. Witzig Tags: Stamp vignette on medical science Source Type: research

Buddies Series: Black Labs, Yellow Labs, and Brown Labs by Nancy Hammond
Art is integrated into the Mayo Clinic environment. Since the original Mayo Clinic Building was finished in 1914, many pieces have been donated or commissioned for patients and staff to enjoy. Each issue of Mayo Clinic Proceedings features a work of art (as interpreted by the author) that is displayed in a building or on the grounds of Mayo Clinic campuses. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Margaret R. Wentz Tags: Art at mayo clinic Source Type: research

More Potent Antiplatelet Therapy in Acute Coronary Syndrome Patients With Prior Stroke: Proceed With Caution?
Dual antiplatelet therapy (DAPT) is the current standard of care in patients presenting with acute coronary syndrome. Current American College of Cardiology/American Heart Association/Society for Cardiovascular Angiography and Interventions guidelines for coronary artery revascularization give a class 2a recommendation for choosing ticagrelor or prasugrel over clopidogrel for treatment of ST-segment elevation myocardial infarction and non –ST-segment elevation myocardial infarction as well as a class 3 indication for using prasugrel in the setting of prior transient ischemic attack (TIA) or stroke. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Christopher M. McKinnie, Mark B. Effron Tags: Editorial Source Type: research

Politicization and the Role of Societal-Level Drivers Affecting Health Care Workforce Well-Being
Considerable attention to health care worker (HCW) well-being was present before the COVID pandemic as the prevalence of HCW and learner distress became more apparent and robust.1 During the COVID-19 emergency, health care systems needed to considerably adjust their priorities, and for a brief period, it seemed as if the growing attention to HCW well-being might recede in the wake of competing demands. However, in recognition of the considerable psychological burden that working during the pandemic exerted on the health care workforce,2 it is now apparent that continued attention is absolutely warranted. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Jonathan Ripp Tags: Editorial Source Type: research

In the Limelight: November 2023
This month ’s feature highlights three articles that appear in the current issue of Mayo Clinic Proceedings. These articles are also featured on the Mayo Clinic Proceedings’ YouTube Channel (https://youtu.be/6O7c7JwYoyY). (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Karl A. Nath Tags: In the limelight Source Type: research

Editorial Board
(Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Source Type: research

Table of Contents
(Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Source Type: research

General Information
(Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Source Type: research

Highlights From the Current Issue – Audiovisual Summary
Karl A. Nath, MBChB, Editor-in-Chief of Mayo Clinic Proceedings, discusses the Editor ’s Choice and Highlights articles appearing in the November 2023 issue. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - November 1, 2023 Category: Internal Medicine Authors: Karl A. Nath Tags: Issue summary Source Type: research