Intermittent Diplopia Following Resolution of Nasopharyngeal Carcinoma
A 37-year-old woman with a history of resolved nasopharyngeal carcinoma presented with transient binocular horizontal diplopia for 2 years. What would you do next?
ABMS Lifelong Learning CME Activity
Patient With Hemoptysis and a Laryngeal Mass
A 76-year-old man presented to the emergency department with a 6-week history of globus sensation and muffled voice and acute onset frank hemoptysis. Laryngoscopy revealed a large mobile, multilobulated, broadly pedunculated mass that was friable and oozing on the lingual…
Osteoporosis – A Review
Importance Osteoporosis is characterized by low bone mass, increased bone fragility, and increased susceptibility to fracture, which is associated with substantial morbidity, mortality, and economic costs. Worldwide, 1 in 3 women and 1 in 5 men older than 50 years of…
Covariate-Constrained Randomization
This Guide to Statistics and Methods provides an overview of the covariate-constrained randomization design, which can achieve improved control over large imbalances across study arms at the cluster level over simpler methods of randomization.
Gender-Affirming Feminizing Hormone Therapy
This Clinical Insights describes the process for initiating feminizing gender-affirmative hormone therapy for transgender women or nonbinary people.
Continuous Glucose Monitor Use—Avoiding Overuse
This case report describes a patient in their 30s with hypertension, anxiety, depression, chronic tremulousness, nausea, vomiting, headache, and mental fog.
Ethics Talk: Time as a Critical Resource in Rural Emergency Medical Services
This activity is comprised of five multiple-choice questions based on the content of an AMA Journal of Ethics podcast about time as a critical resource for rural emergency medical service workers. The featured guest is Representative Eric Emery, a paramedic,…
What Might the Past Suggest About Rural Emergency Services Amidst Critical Access Hospitals’ Decline?
Critical access and other rural hospitals have struggled to remain open, which exacerbates inequity in rural residents’ access to routine and emergency health services and strains already-taxed rural emergency medical services (EMS). This article discusses the recent history of rural…
How Should We Fund and Reimagine EMS to Support Sustainable Rural Health Infrastructure?
Emergency medical services (EMS) care in rural areas of the United States has suffered from being chronically under-resourced and understaffed for many years. Deficits, to a large extent, are due to how EMS is funded and due to shortfalls in…
Data-Driven Contingency Management Incentive Magnitudes – A Review
Importance Interest in contingency management (CM) as a treatment for opioid and stimulant use disorders has increased because of the ongoing dual opioid/stimulant crisis, rising stimulant drug deaths, and demand for effective treatments for stimulant use disorder. The success of the…
