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JAMA Clinical Reviews

Interviews about ideas & innovations in medicine, science & clinical practice. Listen & earn CME credit
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Now displaying: Page 1

In-depth interviews about current ideas and innovation in medicine, science, and clinical practice.

Feb 24, 2021

The CDC coordinated a massive effort to immunize nearly all nursing home and long-term care facility residents in the US against COVID-19 infection in the month after vaccine approval. Ruth Link-Gelles, PhD, MPH, CDC staff epidemiologist and Lieutenant Commander of the US Public Health Service Commissioned Corps, describes how.

Related Article(s):

Feb 23, 2021

Highly effective B-cell therapies like rituximab and ofatumumab have changed the outlook for patients with multiple sclerosis (MS). Alexander Rae-Grant, MD, emeritus professor of neurology at the Cleveland Clinic Lerner College of Medicine, discusses recent advances in the diagnosis and treatment of MS.

Related Article(s):

Feb 23, 2021

Many physicians are skeptical of structural racism, the idea that economic, educational, and other social systems preferentially disadvantage Black Americans and other communities of color. Mitchell Katz, MD, president and chief executive officer of NYC Health + Hospitals, the largest US public health care system, is an expert in health care delivery to disadvantaged populations. He explains how structural racism worsens health outcomes and what health systems can do to address it.

Related:

Racial and Ethnic Disparities in COVID-19

The Winter COVID-19 Surge in New York and Los Angeles

Diversifying Medical Education

Surgeon Creates Barrier-Free COVID-19 Testing Service for Philadelphia's Black Residents

Taking a Closer Look at COVID-19, Health Inequities, and Racism

Recalibrating the Use of Race in Medical Research

Responding to COVID-19 With a Structurally Competent Health Care System

Feb 10, 2021

Natural experiments comparing coronavirus spread on ships and in hair salons with vs without face masks point to the importance of wearing masks for curbing SARS-CoV-2 spread. John T. Brooks, MD, chief medical officer of the CDC’s COVID-19 response team, reviews recently published epidemiologic data that reinforce the role of mask use for pandemic control.

Related Article:

Effectiveness of Mask Wearing to Control Community Spread of SARS-CoV-2

Feb 9, 2021

Philip Cohen, MD, associate clinical professor of internal medicine at UCLA, a primary care internist who also specializes in sports medicine, discusses the primary care management of osteoarthritis.

Related Articles:

Feb 2, 2021

Immune checkpoint inhibitors have been a major breakthrough in cancer treatment but can have many serious adverse effects. Pankti Reid, MD, MPH, assistant professor of medicine in rheumatology at the University of Chicago, discusses the pathogenesis, diagnosis, and treatment of toxicities from immune checkpoint inhibitors as outlined by the 2019 NCCN guidelines.

Related Article:

Management of Immunotherapy-Related Toxicities in Patients Treated With Immune Checkpoint Inhibitor Therapy

Jan 26, 2021

Howard Reber, MD, emeritus professor of surgery at UCLA, discusses how to treat acute pancreatitis.

Related Article(s):

Acute Pancreatitis

Jan 26, 2021

Howard Reber, MD, emeritus professor of surgery at UCLA, discusses how to diagnose acute pancreatitis.

Related Article(s):

Acute Pancreatitis

Jan 22, 2021

Ethnic and racial minorities have been particularly hard hit with COVID-19 in some communities. Mitchell Katz, MD, president and chief executive officer of New York City Health + Hospitals, and former Los Angeles County health agency director, discusses this problem and what has been learned from COVID-19 that can help resolve the general problem of health care disparities.

Related Article:

Racial and Ethnic Health Disparities Related to COVID-19

Jan 19, 2021

Tobacco use is the leading cause of preventable disease and death in the world, but most attempts to quit are unsuccessful. Atul Jain, MD, assistant professor of medicine at Mayo College of Medicine, discusses new guidelines from the American Thoracic Society on pharmacologic management of tobacco cessation, including target population and deciding when to initiate.

Related Article(s):

Initiating Pharmacologic Treatment in Tobacco-Dependent Adults

Jan 15, 2021

Mitchell Katz, MD, president and chief executive officer of New York City Health + Hospitals, and former Los Angeles County health agency director, discusses causes, similarities, and differences between the spike of COVID-19 cases, hospitalizations, and deaths in the 2 cities.

Related Article:

Modernize Medical Licensing, and Credentialing, Too—Lessons From the COVID-19 Pandemic

Jan 12, 2021

Glaucoma is the most common cause of irreversible blindness in the world. Joshua Stein, MD, MS, associate professor of ophthalmology at the University of Michigan, reviews the diagnosis and treatment of glaucoma.

Related Article:

Glaucoma in Adults—Screening, Diagnosis, and Management

Jan 11, 2021

A new trial reports that a third of emergency department patients presenting with appendicitis admitted for oral antibiotic treatment had outcomes no different from those admitted for intravenous antibiotic treatment. Paulina Salminen, MD, PhD, professor of surgery at the University of Turku in Finland, discusses the findings.

Related Article(s):

Effect of Oral Moxifloxacin vs Intravenous Ertapenem Plus Oral Levofloxacin for Treatment of Uncomplicated Acute Appendicitis

Jan 6, 2021

Next-generation sequencing is a catchall term for new, high-throughput technologies that allow rapid sequencing of a full genome. It can be used to sequence a patient’s DNA in diagnosing a genetic disorder or characterizing a cancer, but it can also be used to sequence the genome of a pathogenic bacteria, virus, fungi, or parasites. In this JAMA clinical review podcast, we talk with authors Marta Gwinn, MD, MPH, and Gregory L. Armstrong, MD, from the CDC, about how next-generation sequencing of infectious pathogens is being implemented in clinical practice and in public health surveillance for infectious disease.

Related Article(s):

Next-Generation Sequencing of Infectious Pathogens

Podcast originally published 2/14/19.

Jan 6, 2021

Tom Shimabukuro, MD, MPH, MBA, and Sara Mbaeyi, MD, MPH, from the CDC discuss rare allergic complications in patients who received the first dose of the Pfizer-BioNTech vaccine between December 14-23, 2020.

Jan 5, 2021

Patent foramen ovale (PFO) is an often overlooked cause of acute ischemic stroke. JAMA Associate Editor Jeffrey Saver, MD, professor of neurology at UCLA, discusses new recommendations from a 2020 AAN Practice Advisory about use of mechanical PFO closure and anticoagulant vs antiplatelet therapy to prevent subsequent strokes in patients with a PFO and an initial event.

Related Article:

Management of Patients With a Patent Foramen Ovale With History of Stroke or TIA

Jan 5, 2021

New therapies have greatly improved outcomes for patients with Crohn disease. Peter Higgins, MD, from the University of Michigan, discusses advances in management and treatment protocols.

Related Article:
Management of Crohn Disease

Dec 31, 2020

Adam Lauring, MD, PhD, from the University of Michigan Division of Infectious Diseases, an expert on the evolutionary biology of RNA viruses, explains the new genetic variants recently found in SARS-CoV-2 and their importance.

Related Article(s):
Genetic Variants of SARS-CoV-2—What Do They Mean?

Dec 30, 2020

Elderly persons and residents of nursing homes have been the hardest hit in the COVID-19 pandemic. Harvard geriatrician Sharon Inouye, MD, discusses the effect COVID-19 has had on nursing homes and what should be done about it.

Related Article:

Association of Nursing Home Ratings on Health Inspections, Quality of Care, and Nurse Staffing With COVID-19 Cases

Dec 22, 2020

Homeless patients with chronic medical conditions who need long-term care often repeatedly present to emergency departments to receive treatment. Following a performance improvement analysis, clinicians at UCSF developed an emergency department–based team who work with the community to provide care for this challenging population. Hemal Kanzaria, MD, and Jack Chase, MD, discuss how UCSF has addressed this clinical problem.

Related Article(s):

Caring for Emergency Department Patients With Complex Medical, Behavioral Health, and Social Needs

Dec 15, 2020

JAMA Fishbein Fellow Kristin Walter, MD, interviews Craig Garfield, MD and Richard Weissbourd, EdD, about parental relationships during the COVID-19 pandemic.

Related Article(s):

Considerations for Young Children and Those With Special Needs as COVID-19 Continues

Dec 10, 2020

Lockdowns resulting from COVID-19 have had a devastating effect on everyone’s personal lives and the economy. What factors in people’s daily lives are most associated with SARS-CoV-2 transmission between people? Manish Patel, MD, team lead of the CDC’s Influenza Prevention & Control Team, discusses a study they conducted examining what sorts of activities might be associated with COVID-19 disease transmission.

Related Article(s):

Community Outbreak Investigation of SARS-CoV-2 Transmission Among Bus Riders in Eastern China

Dec 8, 2020

It is well known that alcohol use severely affects driving ability, but does cannabis? There are many fewer traffic crashes related to cannabis than alcohol intoxication. Johannes Ramaekers, PhD, of the University of Maastricht in the Netherlands, discusses his study examining the relationship between vaping THC and driving safety.

Related Articles:

Effect of Cannabidiol and Δ-Tetrahydrocannabinol on Driving Performance

Driving Under the Influence of CBD or THC—Is There a Difference?

Dec 7, 2020

Closing businesses during the COVID-19 pandemic has had devastating consequences for individuals and the economy in general. Proper air handling combined with the use of masks and physical distancing can greatly improve the safety of indoor spaces. Joseph Allen, DSc, MPH, assistant professor of exposure assessment science at Harvard T.H. Chan School of Public Health, and Andrew Ibrahim, MD, assistant professor of surgery and architecture and urban planning at the University of Michigan, discuss air conditioning standards that can substantially reduce the risk of disease transmission in indoor spaces.

Related Article(s):

Turbulent Gas Clouds and Respiratory Pathogen Emissions

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