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Don't Just Do Something

When I decided to become a doctor, I made a pledge. And the pledge was that I would put my patient's interest in front of my own interest. — Jerome Hoffman, MD A teenage girl arrives in the ER on a backboard after a minor car crash with some neck pain, so she's put in a rigid collar by the paramedics. In the ER, however, she meets all five NEXUS low-risk criteria, which says she doesn't need imaging. Then her father arrives: loud, angry, and quick to mention he's a lawyer. He

Graham Walker, MD

9 min read

How to Drive Department Collaboration and Physician Adoption: Dr Howard Dinh’s Quest at Kaiser Permanente

A validated decision tool only helps patients if clinicians open it, trust it, and act on it. Getting them there, and deciding which tools are worth building at all, is its own kind of work, and it gets far less attention than the equations themselves. That work is the subject of the latest episode of MDAware: Upgrading Clinical Judgment. Dr. Graham Walker sits down with his former TPMG colleague Dr. Howard Dinh to talk about how Kaiser Permanente Northern California builds a

Podcast

MDCalc Team

3 days ago4 min read

From ASCVD Pooled Cohort Equations to PREVENT: Rethinking Cardiovascular Risk

For more than a decade, the atherosclerotic cardiovascular disease (ASCVD) pooled cohort equations (PCEs) have been the default for estimating a patient's cardiovascular risk. Now a new model is replacing them, and it doesn't just update the math. It changes predictive outcomes and implications for millions of patients. That shift is the subject of the latest episode of MDAware: Upgrading Clinical Judgment. Host Dr. Shazia Siddique sits down with Dr. Sadiya Khan and Dr. Donal