Physician Burnout – Is This a “Doom Loop” Problem?

Burnout continues to be a pervasive issue among physicians. The annual Lifestyle Report by Medscape focuses on physician responses to an extensive survey about burnout and depression. How prevalent are these factors, how do they affect physicians’ lives, and how does this affect the quality of health care?  This article, by Carol Peckham in the January 17, 2018 issue of Medscape provides details. You can access the survey article by clicking HERE.

Is this a “Doom Loop” problem? Attitude and behavioral change occurs over time when an individual is in the same job and performs essentially the same tasks over and over again for an extended period of time. Read about how this happens by clicking HERE to go to the Doom Loop site.

Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults

Interesting article in the September 18, 2018 issue of the Journal of the American Medical Association (JAMA) publication.

More than 35% of men and 40% of women in the United States are obese. Obesity is associated with health problems such as increased risk for coronary heart disease, type 2 diabetes, various types of cancer, gallstones, and disability. Obesity is also associated with an increased risk for death, particularly among adults younger than 65 years.

The USPSTF reviewed the evidence on 4 types of interventions: behavior-based weight loss (80 trials), behavior-based weight loss maintenance (9 trials), pharmacotherapy-based weight loss (32 trials), and pharmacotherapy-based weight loss maintenance (3 trials). In the weight loss maintenance trials, patient randomization occurred after prior weight loss.

You may access the complete article by clicking HERE.

Elective Induction of Labor at Term: Has its Time Arrived?

In low-risk nulliparous women, compared with expectant management, labor induction at 39 weeks was associated with lower likelihood of cesarean delivery.

Allison Bryant, MD, MPH, reviews a study by Grobman WA et al. (N Engl J Med 2018 Aug 9) in the New England Journal of Medicine that these long-awaited data convincingly demonstrate that labor induction at 39 weeks’ gestation (in the absence of medical indications for delivery) does not result in harm, including excess risk for cesarean delivery — at least among women similar to the trial participants.

You can read Dr. Bryant’s review  by clicking HERE.

You can access the article by Dr. Grobman et al. by clicking HERE.

Reassurance About Primary Ovarian Insufficiency after Well-Adolescent Vaccination

This article by Catherine M. Gordon, MD, MSc in the New England Journal of medicine – Journal Watch addresses an important issue. In contrast to case series, this population-based epidemiologic, cohort study found no significant elevated risk of POI after receipt of common vaccines.

You can access the article by clicking HERE.