JAMA internal medicine
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JAMA internal medicine · Jan 2015
Getting maintenance of certification to work: a grounded theory study of physicians' perceptions.
Despite general support for the goals of maintenance of certification (MOC), concerns have been raised about its effectiveness, relevance, and value. ⋯ Physicians view MOC as an unnecessarily complex process that is misaligned with its purposes. Acknowledging and correcting these misalignments will help MOC meet physicians' needs and improve patient care.
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JAMA internal medicine · Jan 2015
Randomized Controlled TrialEffects of hyperbaric oxygen on symptoms and quality of life among service members with persistent postconcussion symptoms: a randomized clinical trial.
Improvement has been anecdotally observed in patients with persistent postconcussion symptoms (PCS) after mild traumatic brain injury following treatment with hyperbaric oxygen (HBO). The effectiveness of HBO as an adjunctive treatment for PCS is unknown to date. ⋯ Among service members with persistent PCS, HBO showed no benefits over sham compressions. Both intervention groups demonstrated improved outcomes compared with PCS care alone. This finding suggests that the observed improvements were not oxygen mediated but may reflect nonspecific improvements related to placebo effects.