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In a position paper published online Feb. 27 in the Annals of Internal Medicine

Recommendations for Optimizing Hidden Curriculum in Medicine

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Clinical learning environment should be optimized by ensuring what is taught in classroom is modeled
Children undergoing cardiac surgery from the lowest-income neighborhoods have worse outcomes

Peds Cardiac Surgery Outcomes Vary by Neighborhood Income

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Children from lowest-income neighborhoods have increased mortality, longer hospital stay
Artificial intelligence

Artificial Intelligence May Help Prevent Physician Burnout

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Many potential uses for AI, including improving searches and documentation, selecting treatment
The percentage of uninsured U.S. persons of all ages did not change significantly from 2016 to the first nine months of 2017

CDC: No Change in Percentage of Uninsured in U.S. From ’16 to ’17

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Increase in percentage of those aged younger than 65 years enrolled in high-deductible health plan
Perioperative glucose predicts 30-day mortality linearly in noncardiac surgical patients and nonlinearly in cardiac surgical patients

Perioperative Glucose but Not A1C Predicts Surgical Outcomes

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A1C is not associated with increased 30-day mortality after controlling for glucose
Burnout is prevalent among physicians

Burnout Found Prevalent Among Doctors in Single Health System

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Link between patient satisfaction and emotional exhaustion; also tied to odds of leaving organization
Intravenous acetaminophen with or without ketorolac is associated with reduced opioid consumption and cost of care after scoliosis surgery in adolescents

Opioids Plus Acetaminophen, Ketorolac Cost-Effective Post-Sx

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In children having scoliosis surgery, combo is linked to reduced opioid intake compared with opioids alone
Four best practices outlined that can help prevent health care cyberattacks

Four Best Practices Outlined to Prevent Health Care Cyberattacks

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Health care execs should ID potential inefficiencies in cybersecurity, ensure systems backed up
Electronic health records are not sufficient to ensure success in value-based care

EHRs Not Sufficient to Ensure Success in Value-Based Care

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EHRs do not necessarily capture information needed; interoperability is poor, analytics are incomplete
Most people do not believe that professionals including health care providers should be allowed to refuse to provide services based on their conscience or beliefs

Poll: Personal Beliefs Shouldn’t Allow Doctors to Refuse to Treat

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Majority surveyed don't believe health care workers should be able to refuse services based on beliefs