Db's Medical Rants

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Channel Reputation Rank

#780
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Activity Status

Alive

last updated

According to the data and stats that were collected, 'Db's Medical Rants' channel has quite a good rank. The channel mostly uses long articles along with sentence constructions of the intermediate readability level, which is a result that may indicate difficult texts on the channel, probably due to a big amount of industrial or scientific terms.

About 'Db's Medical Rants' Channel

Internal medicine, American health care, and especially medical education

? Updates History Monthly Yearly
? Content Ratio
? Average Article Length

Long articles are widely used on 'Db's Medical Rants' as elaborated and interesting content can help the channel to reach a high number of subscribers. In addition there are a few medium length articles.

short

long

? Readability Level

Intermediate readability level is common for 'Db's Medical Rants' articles as it addresses the matters that demand certain level of education to be understood. Sometimes the channel gets even more difficult by issuing pieces of advanced readability level (there are just a few of them). In addition the channel contains some materials of a basic readability level.

advanced

basic

? Sentiment Analysis

Positive emotional expressions prevail throughout the texts: they may include favorable reviews, appreciation or praise in regard to the subjects addressed on the channel. However, the channel also contains some rather negative or critical records that make up just a small amount of all its content.

positive

negative

Recent News

Unfortunately Db's Medical Rants has no news yet.

But you may check out related channels listed below.

6 months in ACP leadership

[...] . Our chapter meetings are excellent. The national IM meetings are superb. The Annals of Internal Medicine is an extremely important and useful journal. #2 – ACP advocates for internists. We have [...]

Thankful for being a physician

[...] especially. But this post is about how thankful I am for being a physician. 1. Finding internal medicine – when I started medical school I had no idea what type of physician I would become. In [...]

Continued angst over re-certification

[...] . This contrast defines (at least in my mind) the ongoing angst over re-certification in internal medicine. Formative evaluation requires a different structure than summative evaluation.   [...]

Arguing in favor of appropriate MOC

[...] . I have talked with their leaders, and I know that they want to do the right things for internal medicine. When we worry too much about the money, we run the risk of falling prey to the affect [...]

How and when to call palliative care

[...] evolve. We saw how the palliative care approach improved the quality of both life and death. Many physicians have not yet accepted or at least understood palliative care. Many physicians use some [...]

2014 – the big issue – enjoyment

[...] schedule and accepting the hospital bureaucracy to fight the other bureaucracies. And many physicians retire earlier than they may have. So we have a proliferation of physician helpers [...]

The Lemierre Syndrome – 2014 survey data

[...] now are prescribed anticoagulation. We could use a standard recommendation here also. 5. Many physicians consider sore throats in these patients as routine and relatively unimportant. We have not [...]

The curse of knowledge and teaching medicine

[...] assess how one explains issues. Obviously when talking with patients and families, too many physicians use DoctorSpeak. This problem likely stems from the same Curse. The best way to avoid this [...]

Thoughts on diagnostic errors

[...] , it is difficult for me to slow down. Here are some of my somewhat disjointed thoughts. 1. Diagnostic accuracy, while the most important quality measure for internists (and many other physicians), [...]

Quality starts with diagnosis

[...] performance measures depend on knowing the diagnosis. But here is the key problem, defining diagnostic accuracy is extremely difficult. We often do know that we make diagnostic errors. We often do not [...]

The problem with “measuring quality” – as Donabedian told us

[...] with a specific disease. To do so is folly. To declare quality ratings without assessing diagnostic accuracy or drug-drug interactions or patient centered decisions making will give false ratings. A [...]

Thoughts on the MOC JAMA “debate”

[...] .  We cannot measure every dimension.  As a short list, I would suggest that diagnostic accuracy, performance, patient-centered decisions (which may conflict with performance measures), [...]

Still worrying about Lemierre syndrome #continuedfrustration

[...] has on adolescents and their families, please read the comments. Here is the problem. Lemierre syndrome is infrequent but very dangerous. It can kill and can disable. It occurs more frequently in [...]

The story behind the new sore throat article

[...] the rise in the Lemierre Syndrome should influence pharyngitis management. Since my thought experiment publication in 2009, [...]

The absence of evidence is not the same as evidence against

[...] ) with significant pharyngitis. In a paper I published 5 years, I provided the evidence that Lemierre syndrome occurs more frequently than acute rheumatic fever. Yet the newest pharyngitis guidelines [...]

#sgim14 – random clinical thoughts

[...] very aware that not all coagulase negative staph are contaminants. Another poster documented Lemierre syndrome with positive blood cultures for both Fusobacterium necrophorum and Group C streptococci. [...]

Should you become a physician?

[...] . Other specialties would like have different criteria. In April I will attend my 40th medical school reunion. I remain thankful that I was able to tolerate the first 2 years of medical school [...]

Burnout – an important potential measure for med schools and residencies

[...] .  When working conditions become worse, we just work harder. Unfortunately burnout starts in medical school, often continues in residencies, and then strikes too often during our careers. Do we in [...]

Show your work – what my algebra teacher taught me

[...] process of medicine always intrigued me. At the Medical College of Virginia where I went to medical school and internal medicine residency, we had some wonderful clinical education role models who [...]

Burnout in primary care – administrative burdens to blame

[...] with one of my former residents (I was an intern and he was a 2nd year). I knew him before medical school, and have kept in touch for the past 37 years during which he worked in a classical internal [...]

How and when is the physical exam useful?

[...] , for the past 15 I have focused only on inpatient medicine. As some comments suggest, the physical examination yields more information when the patient has clinical symptoms that when the examination [...]

On giving Grand Rounds – what I learned

[...] suggests the next series of questions. Sometimes the history informs a need for a physical examination; sometimes the physical examination informs the need for more history. Both can direct us [...]

Touching all the bases

[...] Internal medicine requires knowledge, deduction, and many skills – history taking, physical examination, analyzing diagnosis tests. When confronting a new patient problem, we use our brains to [...]

Which should we emphasize – knowledge or wisdom?

[...] know and know what they don’t know. Expert physicians have skills in history taking, physical examination and interpretation of routine labs. They know when to ask questions, and never feel [...]

Ebola in Dallas – a classic diagnostic error

[...] . Few doctors would have made the proper diagnosis in this situation. We must accept that diagnostic errors are common. This situation was particularly difficult because very few physicians in the US [...]

Illness scripts – what we need to emphasize in clinical training

[...] them that the seemingly obvious diagnosis is actually less likely. Frequently when we see diagnostic errors, we have a failure in illness scripts. When we focus on the illness script, many heuristic [...]

Thoughts on diagnostic errors

[...] of performance measurement. The problem stems from our inability to accurately identify diagnostic errors. Some have likened the diagnostic error problem to Potter Stewart’s famous quote about [...]

Quality starts with diagnosis

[...] problem, defining diagnostic accuracy is extremely difficult. We often do know that we make diagnostic errors. We often do not have gold standards or reference standards for diagnosis. Herein lies our [...]

The story behind the new sore throat article

[...] publication in 2009, working with some great colleagues, we developed a PCR for Fusobacterium necrophorum. We did some pilot work and proved to ourselves that the European data that showed a [...]

Still worrying about Lemierre syndrome #continuedfrustration

[...] the US than does rheumatic fever. The most common organism causing Lemierre syndrome is Fusobacterium necrophorum – an anaerobic gram negative bacteria. Routine throat cultures will not grow this [...]

#sgim14 – random clinical thoughts

[...] . Another poster documented Lemierre syndrome with positive blood cultures for both Fusobacterium necrophorum and Group C streptococci. The Danish literature suggests this combination, but I had not [...]

An observation on the MOC debates

[...] apology? Please refrain from ad hominem attacks. I have never questioned the integrity of the ABIM leadership and board. My colleagues and I have disagreed on some fundamental assumptions about the [...]

MOC – how should we define maintenance

[...] has different maintenance needs. As I have written previously, and actually discussed with ABIM leadership, I favor focusing primarily on what we need to maintain our excellence. How can one do that? [...]

Arguing in favor of appropriate MOC

[...] to have the best knowledge base upon which they can help us. I have personally urged the ABIM leadership to consider these goals for MOC. I believe that they are very open to constructive criticism. [...]

?Key Phrases
6 months in ACP leadership

[...] . Our chapter meetings are excellent. The national IM meetings are superb. The Annals of Internal Medicine is an extremely important and useful journal. #2 – ACP advocates for internists. We have [...]

Thankful for being a physician

[...] especially. But this post is about how thankful I am for being a physician. 1. Finding internal medicine – when I started medical school I had no idea what type of physician I would become. In [...]

Continued angst over re-certification

[...] . This contrast defines (at least in my mind) the ongoing angst over re-certification in internal medicine. Formative evaluation requires a different structure than summative evaluation.   [...]

Arguing in favor of appropriate MOC

[...] . I have talked with their leaders, and I know that they want to do the right things for internal medicine. When we worry too much about the money, we run the risk of falling prey to the affect [...]

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