Journal of general internal medicine
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Comparative Study
Teaching feedback to first-year medical students: long-term skill retention and accuracy of student self-assessment.
Giving and receiving feedback are critical skills and should be taught early in the process of medical education, yet few studies discuss the effect of feedback curricula for first-year medical students. ⋯ Teaching feedback to early medical students resulted in improved skills of delivering corrective specific feedback and enhanced comfort with feedback. However, students' overall ability to deliver specific feedback decreased over time.
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Comment Letter Comparative Study
Gabapentin versus tricyclics for neuropathic pain.
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Review
Genetic testing before anticoagulation? A systematic review of pharmacogenetic dosing of warfarin.
Genotype-guided initial warfarin dosing may reduce over-anticoagulation and serious bleeding compared to a one-dose-fits-all dosing method. ⋯ We did not find sufficient evidence to support the use of pharmacogenetics to guide warfarin therapy. Additional clinical trials are needed to define the optimal approach to use warfarin pharmacogenetics in clinical practice.
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Decision analysis is a tool that clinicians can use to choose an option that maximizes the overall net benefit to a patient. It is an explicit, quantitative, and systematic approach to decision making under conditions of uncertainty. In this article, we present two teaching tips aimed at helping clinical learners understand the use and relevance of decision analysis. ⋯ Learners identified the importance of incorporating values into the decision-making process as well as the role of uncertainty. The educational objectives appeared to be reached. These teaching tips introduce clinical learners to decision analysis in a fashion aimed to illustrate principles of clinical reasoning and how patient values can be actively incorporated into complex decision making.
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Meta Analysis Comparative Study
Tea consumption and risk of type 2 diabetes: a meta-analysis of cohort studies.
Tea consumption has been extensively studied in relation to various diseases, several epidemiologic studies have been performed to investigate the association of tea consumption with type 2 diabetes; however, the results of these studies were not entirely consistent. ⋯ This meta-analysis indicates that tea consumption > or =4 cups per day may lower the risk of type 2 diabetes.