Background: The Accreditation Council for Graduate Medical Education (ACGME) has established the requirement for residency programs to assess trainees' competencies in 6 “core” domains (patient care, medical knowledge, practice‐based learning, interpersonal skills, professionalism, and systems‐based practice). As academic medical centers restructure clinical practices to enhance efficiency to comply with duty‐hour restrictions, the potential impact on […]

Background: Transcatheter aortic valve implantation (TAVI) has become the main treatment for symptomatic severe aortic stenosis but patients on dialysis have been excluded from major randomized controlled trials. Our aim was to compare outcomes after TAVI of patients with end-stage renal disease (ESRD) on dialysis versus those without. Methods: EMBASE and MEDLINE were searched through […]

Background: Rhabdomyolysis is a condition of rapid muscle breakdown resulting in myalgia, enzyme elevations, electrolyte imbalance. Released heme pigment may lead to tubular obstruction, vasoconstriction, and tubular epithelial cell injury, causing acute kidney injury (AKI) as a severe complication. Especially with predisposing conditions such as volume depletion. Early and aggressive fluid resuscitation is an essential […]

Background: An estimated 1 in 5 HIV‐positive Americans is unaware of their HIV status. Experts warn that this subgroup notably contributes in propagating the U.S. HIV epidemic. Universal opt‐out screening may mitigate this problem but remains haphazardly implemented. Inpatient‐based programs are a potential pathway toward efficient HIV screening. However, supportive studies are sparse and focus […]