Background: Introduction : A Medical Orders for Scope of Treatment (MOST) form, adopted by the state of Texas in 2014, is similar to Physician Orders for Life Sustaining Treatment (POLST/MOLST) form in other states. It translates patient preferences for CPR, critical care, assisted nutrition, and transfer between healthcare facilities into a physician order set. Previous […]

Background: Invasive bedside procedures are associated with high complication rates — 15% for central venous lines (CVLs), 20% for thoracenteses, and 6% for paracenteses. The American Board of Internal Medicine, while requiring that “the internist be thoroughly evaluated and credentialed as competent in performing a procedure,” does not provide specific mechanisms by which to document […]