Mining for Fool’s Gold


My wife found an interesting news item the other day about robots getting smarter than humans. I got a kick out of it because I thought of it as just another sort of below-the-fold or even back page filler item we see occasionally on the idea that machines are taking over the world. As Robots Grow […]

JAMA Studies Support MOC? You Decide

Dr. James Amos with coffee

Well, we’ve been waiting for good evidence showing whether or not Maintenance of Certification (MOC) actually improves outcomes. Do the two studies published recently in JAMA deliver? You should read them and decide for yourselves. I’m troubled by the conflict of interest of Holmboe, one of the authors of the Gray, et al study (see […]

European Delirium Association Website Gone Away Again


Once again the website for the European Delirium Association (EDA) seems to have gone away. When I clicked on the link this morning between 4:00 and 5:00 AM (no kidding, that’s when I usually get up), I got the message “Access denied.” The EDA website occasionally goes away for some reason, and has always returned […]

Thoughts On Doctors Forming Unions


So you may remember that I tweeted about a recent news item announcing the formation of a union by doctors in Oregon. Since then I’ve learned that unionizing by doctors is nothing new; the new thing about what happened in Oregon was that it was the hospitalists at Peacehealth’s Sacred Heart medical centers who unionized. I […]

CPCP: Potential Antidepressant Overtreatment by Dr. Diana Flint, MD


Coming at you with another outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation, this one on the issue of potential antidepressant overtreatment given by Family Medicine resident, Dr. Diana Flint, MD, who really went all out. The bottom line is that it’s probably not unusual that antidepressant overtreatment is occurring and one controversial scenario that […]