Saturday, July 13, 2019

Supporting New Physicians and New Parents: A Call to Create A Standard Parental Leave Policy for Residents.

This is a great idea, however the authors focus on bias against one group only. Decreasing bias means decreasing bias across the board. Of course, greater emphasis needs to be applied to those currently being discriminated against the most, but no group that is discriminated against should be ignored.

Supporting New Physicians and New Parents: A Call to Create A Standard Parental Leave Policy for Residents.:

Supporting New Physicians and New Parents: A Call to Create A Standard Parental Leave Policy for Residents.

Acad Med. 2019 Jul 09;:

Authors: Ortiz Worthington R, Feld LD, Volerman A


Parents taking leave after the birth of a child is associated with significant benefits for infants, mothers, and fathers. Although nearly 40% of residents have or plan to have children during residency, there is no standard parental leave policy for these trainees. In this Perspective, the authors discuss the benefits of parental leave, synthesize findings about maternity bias and other negative effects of the current variable approaches to parental leave during residency, and explore underlying causes of the lack of a standard parental leave policy for residents. They also call on the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties to work together to address this issue, recommending a standard parental leave policy that ensures a minimum of eight weeks of paid leave for all residents without requiring them to extend training or becoming ineligible to sit for board certification exams. Creating evidence-based and family-friendly guidelines for parental leave is important to the progress of academic medicine in the modern era, as it supports parental and child health, promotes resident wellness, and reduces gender disparities in medicine to the benefit of all.

PMID: 31299674 [PubMed - as supplied by publisher]

Friday, October 28, 2016

Lack of Evidence Linking Calcium With or Without Vitamin D Supplementation to Cardiovascular Disease in Generally Healthy Adults: A Clinical Guideline From the National Osteoporosis Foundation and the American Society for Preventive Cardiology.

Calcium from food and/or dietary supplements that does not exceed 2000 mg/d to 2500 mg/d should be considered safe from a cardiovascular standpoint. Ann Intern Med. 2016 Oct 25

Comment: there are side-effects of supplements, in particular, calcium supplements can be associated with constipation.

Tuesday, October 25, 2016

Mediterranean Diet Does NOT Decrease All-Cause Mortality?

The Mediterranean diet may not affect all-cause mortality, but does appear to decrease cardiovascular disease, cancer, and type 2 diabetes. Ann Intern Med. 2016 Oct 4;165(7):491-500.

Comment: This is an interesting and important article in that it found no effect on all-cause mortality from following the Mediterranean diet. The researchers defined a Mediterranean diet as follows: no restriction on total fat intake, and two or more of following seven components: 1. high monounsaturated-to-saturated fat ratio (this is what you get from using olive oil as a main cooking ingredient), 2. high fruit & vegetable intake, 3. high consumption of legumes, 4. high grain and cereal intake, 5. moderate red wine consumption, 6. moderate consumption of dairy products, or 7. low consumption of meat and meat products with increased intake of fish.

Wednesday, October 12, 2016

A High Resting Heart Rate and Mortality

Increased resting heart rate is associated with increased overall mortality among African Americans. JAMA Cardiol. 2016 Sep 28.

Comment: This relationship is thought to be consistent among all races and demographic groups: a higher resting heart rate is associated with increased morbidity and mortality.

Tuesday, September 27, 2016

High Twitter Influence of Third Party Commercial Entities at Medical Conferences

An analysis of Twitter activity at 13 medical conferences found that commercial tweets were highly influential and biased the reporting on the evidence-based science from the conference. PLoS One. 2016;11(9):e0162376

Comment: One way to keep medical conference tweets more unbiased would be to disallow any company from tweeting with the conference hashtag. If they do, then they would be banned from attending the conference next year. Sorting out commercial from non-commercial tweets is difficult in a twitter feed so imposing some sort of self-regulation makes sense.

Wednesday, September 21, 2016

Internet Based Education for Depression: Harmful or Helpful?

Internet based educational tools appear to benefit patients with depression. Psychol Med. 2016 Oct;46(13):2679-2693.

Comment: This study found that while overall, online educational tools were helpful in patients with depression, upon sub-group analysis, the benefit appeared to be restricted to patients with more education compared to less education. Poorly educated patients did not benefit, and appeared to be at risk of deterioration.

Sunday, September 18, 2016

Mediterranean Diet and Dementia: a Review of the Evidence

Adherence to the Mediterranean diet appears to be linked to better cognitive performance. Adv Nutr. 2016 Sep 15;7(5):889-904.

Comment: The Mediterranean diet appears to have many benefits, including cognitive, cardiovascular, and cancer prevention. While more research needs to be performed, at this point in time the research is fairly consistent that the Mediterranean diet is a great diet for your long-term health.