Occiput posterior (OP) malpresentation occurs 15-25% at term and 5-12% at birth, increases risk of surgical birth, and frequency coincides with category II or III FHR patterns. In an effort to reduce cesarean births, non-invasive and invasive rotational measures may…
UpToDate is an electronic learning tool that provides current, authoritative, and clinically focused information available on 10,000+ topics covering 22+ medical specialties. We integrate the best evidence with clinical experience to produce practical and detailed topics to answer physicians’ questions…
Typical interventions used during the second stage of labor frequently impede oxygen delivery and increase risk to the patient, fetus, and practitioner. Underutilization of laboring down, open-glottis breathing and upright positions by physicians is evident nationwide. This activity outlines the…
When medi-spas first appeared, spurred by advances in laser technology, they were largely unregulated. Now, many states are requiring medi-spas to be associated with a physician as an owner, supervisor or contractor. Offers are being made, and physicians of many…
Nursing home patients today are older, sicker, and more frail than ever before. Multiple chronic conditions, reduced mobility, and cognition put them at risk for polypharmacy, falls, malnutrition, and pressure ulcers. Primary care physicians not based in the nursing home…
Conditions of the retina including retinal tears are the conditions most commonly associated with medical malpractice claims against general ophthalmologists. This monograph will provide an overview of ophthalmology claims, a closed claim analysis of a case of retinal detachment, the…
The number of cardiothoracic (CT) surgeons is declining, and there is a projected shortage by 2035. At the same time, CT surgery continues to be a high-risk specialty for those practicing it. This activity looks at trends in CT surgery…
Patient selection is an important issue, especially in cosmetic plastic surgery. Sound patient selection criteria and screening measures can help reduce the risk of claims related to unexpected outcomes and patient dissatisfaction. This monograph focuses on several special risk issues…
Risk in the field of plastic surgery has increased as the number of procedures has risen over the past few decades. Further complicating the field of plastic surgery is the volume of procedures that are done in ambulatory surgery centers…
Twenty years ago, the AMA noted an alarming trend by physicians and hospitals: they were treating the terms “standard of care” and “clinical practice guidelines” virtually interchangeably, a trend that has only increased over time. In a video interview, cardiologist…
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