literature

work-life

The New England Journal of Medicine invites applications from physicians at any career stage for a one-year, full-time, paid editorial fellowship beginning in July 2025. Several fellows will be selected for the 2025–26 year; applications are due by August 1, 2024. Learn more about the NEJM editorial fellowship and how...

The NEJM Editorial Fellowship

Most physicians remember the day they discovered where they would spend the next several years in residency training. Many also remember the moment elation gave way to reality as they began to calculate the cost of living and loans (averaging nearly $200,000) and realize it was more than their future...

Valuing the Resident Physician: Advocating for Change

In the first part of this series, Improving Feedback Exchanges with Residents: Can You Hear Me Now? , we reviewed basic knowledge and skills related to feedback exchanges in medical training. We defined the difference between feedback and assessment, highlighted the key components of high-quality feedback, identified barriers to feedback...

How to Receive and Deliver High-Quality Feedback

Feedback is defined as information describing an individual’s performance in a given activity that is intended to guide their future performance. Medical trainees are becoming increasingly aware that feedback is a critical component of clinical training. In a two-part series on improving formal feedback exchanges, we will focus on the...

Improving Feedback Exchanges with Residents: Can You Hear Me Now?

Whether you are a student, resident, or faculty member, no doubt you have attended obligatory talks on well-being and burnout. The attention to high rates of burnout in the U.S. health care workforce, and its unsurprising increase during the pandemic , has been beneficial, but concerns have been raised that...

It’s OK to Not Be OK

When you dedicate years to studying and practicing medicine, you learn that certain steps are required to maintain good health and prevent illness and disease. However, the concept of systematically and proactively cultivating good habits applies to many aspects of life,...

Five Steps to Improve Your Financial Health in Residency

Conflict is a natural part of everyday life; disagreements are bound to happen when we interact with others. As physicians, we often work in time-pressured, high-stakes circumstances and engage with teams comprised of people with different backgrounds and perspectives.

Conflict Management and Resolution as a Resident

Welcome new doctors! Yesterday you were medical students and today you are physicians! What a scary feeling. Remember that everyone shares similar concerns and fears as they start their residency and wants to succeed. Getting into residency is the beginning of an incredible journey. Savor it, relax, enjoy the ride,...

Surviving the First Month as a Doctor: Advice from the Community

Physician burnout and well-being are hot topics among medical professionals throughout the health care delivery and educational continuum — for good reason. Current estimates of the impact of physician burnout approach or exceed 50%, and most experts suggest that the percentage is growing.

Connection and Meaning: Resident Leadership to Combat Burnout

The fields of precision medicine and digital health have the potential to transform medicine by increasing access to health-related data at the touch of a finger, seamlessly sharing electronic medical records among institutions, improving the efficiency of healthcare delivery, and providing access to unprecedented granularity of patient data...

Precision Medicine: Help Pave the Way

Beyond Journal Club Podcast from Core IM

Does colonoscopy prevent colon cancer, and does it save lives? There has never been a randomized controlled trial on the effect of screening colonoscopies before the NordICC trial, even though screening colonoscopy is a guideline-based recommendation for everyone over age 45....

The NordICC Trial: Does invitation to screening colonoscopy save lives?

Should your patients be reaching for albuterol when their asthma flares up? Some of us may have been treating asthma exacerbations incorrectly for many years… What is the right approach? Tune in to the fifth episode of Beyond Journal Club, a...

The MANDALA Trial: What is the Best Rescue Medication for Asthma?

How do you counsel patients eligible for the RSV vaccines? What do the results of the RENOIR and AReSVi trials tell us and how do they compare? How should we interpret vaccine trials in the first place? Tune in to the...

The RENOIR and AReSVi Trials: RSV & What Makes Vaccine Trials Different?

In community-acquired pneumonia, can steroids improve mortality? Past studies of steroids in CAP have been conflicting, with some showing a mortality benefit and others showing no difference. How does the CAPE COD trial change how we think about patients hospitalized with...

The CAPE COD Trial: Do Steroids Have a Role in Community-Acquired Pneumonia?

What is the difference between semaglutide (Ozempic, Wegovy, Rybelsus) and tirzepatide (Mounjaro) in metabolic outcomes and mechanism? How did we find out diabetes medications can help with weight loss? SURMOUNT-1 asked the question, "Does tirzepatide, a once weekly injectable drug used...

The SURMOUNT-1 Trial: How Did Diabetes Medications Become Weight Loss Meds?

Does adding revascularization by percutaneous coronary intervention (PCI) to optimal medical therapy improve survival and heart failure hospitalizations in patients with severe ischemic left ventricular systolic dysfunction? Some evidence suggests that patients with low ejection fraction benefit from revascularization by PCI....

The REVIVED Trial: Does PCI Save Lives in Heart Failure and CAD?

NEJM Journal Watch Research Summaries

simple?context=res360&objectType=res360-article&articleCategory=research%20summary&sortBy=pubdate-descending

Research summaries covering topics relevant to residents and trainees.

And vaccination against shingles was associated with lower subsequent risk for vascular dementia or Alzheimer disease.

Chronic Varicella-Zoster Virus Brain Infection Might Trigger Dementia

For the first time, a professional organization offers guidance for managing asymptomatic elevated BP in the hospital and at discharge.

Managing Elevated Blood Pressure in the Hospital

In an observational study, risk during 2 years was 35% lower in SGLT-2 inhibitor users than in DPP-4 inhibitor users.

SGLT-2 Inhibitors and Risk for Dementia in Patients with Type 2 Diabetes

Invasive and conservative strategies had similar outcomes in a randomized trial involving patients age 75 years or older with non–ST-segment elevation myocardial infarction.

For Older Adults with NSTEMI, Is Invasive Treatment Warranted?

“Neffy” is an option for people who are reluctant to use self-injectable epinephrine.

Newly Approved Intranasal Epinephrine

Relatively low-resource interventions improved pain modestly but durably.

Do Telehealth Mindfulness-Based Interventions Relieve Chronic Pain?

Patients with worse baseline pain experienced greater improvements in sleep.

Does Chronic Pain Affect the Efficacy of Cognitive-Behavioral Therapy for Insomnia?

More nursing home residents received antiplatelet medications than oral anticoagulants in this retrospective study.

Antithrombotic Prescribing in Nursing Home Residents with Atrial Fibrillation

A retrospective analysis supports this drug–drug interaction.

Do CYP2D6-Inhibiting Antidepressants Worsen Pain for Patients on CYP2D6-Metabolized Opioids?

Among other things, this Endocrine Society guideline has abandoned its previously recommended categories for vitamin D “deficiency” and “insufficiency.”

Vitamin D for Preventing Disease: A New Guideline

Incorporating risk scoring systems could lower use of unnecessary venous thromboembolism prophylaxis by one third.

Optimizing VTE Prophylaxis in Hospitalized Patients

Follow-up has improved since 2012, but substantial healthcare disparities exist, and some gaps have widened.

Rate of Ambulatory Follow-Up After Cardiovascular-Related Hospitalization

On average, predicted 10-year estimates for atherosclerotic CV disease are much lower with the new calculator.

How Do Cardiovascular Risk Estimates from the New PREVENT Calculator Compare with Older Estimates?

In an observational study, venous thromboembolism occurred less commonly with aspirin than with anticoagulants.

Use of Aspirin for VTE Prophylaxis After Total Knee Arthroplasty Is Increasing

Survey results suggest that many women might prefer to delay screening.

Mammography Preferences Among Women in Their 40s

At 8 months, outcomes with self-fit and audiologist-fit devices were similar.

Effectiveness of Over-the-Counter Self-Fit Hearing Aids

A randomized trial showed benefits for patients with or without diabetes or prior stroke.

Intensive BP Reduction for Preventing Major Adverse Cardiovascular Events

Apixaban might present less bleeding risk than rivaroxaban or warfarin.

Atrial Fibrillation and Cirrhosis: Which Anticoagulant?

This large cohort study showed no benefit, adding to mostly negative prior studies.

Does a Daily Multivitamin Provide a Mortality Benefit?

Another study documents higher prescribing of diuretics in patients who initiate gabapentin or pregabalin.

More Data on Gabapentinoid-Induced Edema

<p style="font-style: normal; font-weight: 600; font-size: 22px; line-height: 26px; letter-spacing: -0.01em;"><strong>NEJM Knowledge+ offers remote learning resources for residents and students</strong></p>
<ul style="font-style: normal; font-weight: 400; line-height: 24px; /* or 156% *//* blacks / 100 */color: #000000;">
<li>A learning solution that can scale to fit the needs of your program</li>
<li>A convenient, customized format for busy residents and trainees who can save time with efficient, adaptive learning</li>
<li>The ability to assess progress with detailed reports, custom and prepared quizzes</li>
<li>Integration with NEJM Resident 360</li>
</ul>
<p><button style="width: 100%; background: #009999; border: 1px solid #757575; border-radius: 6px; padding: 10px 20px; display: flex; align-items: center; margin: auto;"><a style="line-height: 20px; text-align: center; letter-spacing: 0.09em; text-transform: uppercase; text-decoration: none; color: white; font-weight: bold; margin: auto;" href="https://knowledgeplus.nejm.org/residency-training/">Find the Learning Solution for Your Program</a></button></p>

Expert Consult

No Content

No Content