Journal of general internal medicine
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Observational Study
Statin Dosing Instructions, Medication Adherence, and Low-Density Lipoprotein Cholesterol: a Cohort Study of Incident Statin Users.
Robust evidence is lacking on optimal timing of statin administration and its impact on patient outcomes. ⋯ Among incident statin users from a real-world clinical setting, those with daily and evening dosing instructions had similar adherence rates and mean changes in LDL-c. Given potential clinical equipoise for evening and daily dosing, clinicians should consider patient-tailored statin dosing instructions to reduce potentially unnecessary regimen complexity.
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Mentoring of medical students remains a core pillar of medical education, yet the changing landscape of medicine has called for new and innovative mentoring models to guide students in professional development, career placement, and overall student well-being. The objective of this review is to identify and describe models of mentorship for US medical students. ⋯ Our review demonstrates that mentoring programs for medical students can positively improve medical school satisfaction and career development. These results underscore the need for continued innovative mentoring programs to foster optimal student development in the setting of the increasingly competitive residency match process, growing expectations about student research productivity, and the national focus for overall student wellness.
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Approximately 20% of patients with atherosclerotic cardiovascular disease (ASCVD) suffer from depression. ⋯ Almost 1 in 10 individuals with ASCVD without diagnosis of depression is at high risk for it and has worse health outcomes compared with those who already have a diagnosis of depression. Early recognition and treatment of depression may increase healthcare efficiency, positive patient experience, and HQoL among this vulnerable population.
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Editorial Comment
Pragmatic Trials as an Additional Tool in the Evidence Building Toolbox.
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Many approaches to burnout and compassion fatigue in medicine do not focus on the reason most physicians went into practice, namely love. And we do not explicitly think of our daily work in these terms. If we believe our job is to help others in a very task-oriented sense and we are not able to succeed or a patient has a poor outcome, we can miss the fact that often our simply being present is what is needed. Refocusing on our love of others in our work whether they are patients, colleagues, or administrators can reinvigorate our experience and make us happier people in the process.