Table of Contents

March 5, 2002; 136 (5)

Articles

  • Trends in the Incidence and Survival of Patients with Hospitalized Myocardial Infarction, Olmsted County, Minnesota, 1979 to 1994

    • Véronique L. Roger,
    • Steven J. Jacobsen,
    • Susan A. Weston,
    • Tauqir Y. Goraya,
    • Jill Killian,
    • Guy S. Reeder,
    • Thomas E. Kottke,
    • Barbara P. Yawn,
    • and Robert L. Frye
    Ann Intern Med March 5, 2002 136:341-348

    Over time, the incidence of hospitalized myocardial infarction decreased in men but increased in women and elderly persons. Survival benefits were clustered among younger persons. These results suggest that both incidence and survival contribute to the contrasting mortality trends by age and sex and that the burden of coronary disease has shifted toward elderly persons.

  • Survival Associated with 5-Fluorouracil–Based Adjuvant Chemotherapy among Elderly Patients with Node-Positive Colon Cancer

    • Vijaya Sundararajan,
    • Nandita Mitra,
    • Judith S. Jacobson,
    • Victor R. Grann,
    • Daniel F. Heitjan,
    • and Alfred I. Neugut
    Ann Intern Med March 5, 2002 136:349-357

    Adjuvant therapy with 5-fluorouracil is significantly associated with reduced mortality in older patients with node-positive colon cancer, similar to the association found in randomized, controlled trials among younger patients. More frequent use of this therapy in older patients would probably reduce the rate of death from colon cancer.

  • Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program

    • Tait D. Shanafelt,
    • Katharine A. Bradley,
    • Joyce E. Wipf,
    • and Anthony L. Back
    Ann Intern Med March 5, 2002 136:358-367

    In this study, burnout was common among resident physicians and was associated with self-reported suboptimal patient care practices.

Brief Communications

  • Paying Research Subjects: An Analysis of Current Policies

    • Neal Dickert,
    • Ezekiel Emanuel,
    • and Christine Grady
    Ann Intern Med March 5, 2002 136:368-373

    Most organizations pay some research subjects, but few have written policies on payment. Because investigators and institutional review boards make payment decisions with little specific guidance, standards vary.

Academia and Clinic

  • Acupuncture: Theory, Efficacy, and Practice

    • Ted J. Kaptchuk
    Ann Intern Med March 5, 2002 136:374-383

    This essay reviews the historical and theoretical framework of acupuncture, the scientific evidence for its claims to effectiveness, its safety profile, and methods for providing this therapy.

Perspectives

  • Stress in Medical Residency: Status Quo after a Decade of Reform?

    • Virginia U. Collier,
    • Jack D. McCue,
    • Allan Markus,
    • and Lawrence Smith
    Ann Intern Med March 5, 2002 136:384-390

    Despite recent curricular reforms, an alarming number of current medicine residents report depressive symptoms, increasing cynicism, and decreasing humanism, which were associated with increasing educational debt and a need to moonlight for financial survival. Ongoing curricular reform, legislative relief from early loan repayment, and salary increases may be necessary to address these problems.

Position Papers

  • Physician–Industry Relations. Part 1: Individual Physicians

    • Susan L. Coyle and
    • for the Ethics and Human Rights Committee, American College of Physicians–American Society of Internal Medicine*
    Ann Intern Med March 5, 2002 136:396-402

    This is part 1 of a 2-part paper on ethics and physician–industry relationships. Part 1 offers recommendations to individual physicians, mainly clinicians and clinician-researchers, about acceptance of gifts and other financial relationships with industry.

  • Physician–Industry Relations. Part 2: Organizational Issues

    • Susan L. Coyle and
    • for the Ethics and Human Rights Committee, American College of Physicians–American Society of Internal Medicine*
    Ann Intern Med March 5, 2002 136:403-406

    This is part 2 of a 2-part paper on ethics and physician–industry relationships. Part 2 addresses ethical concerns relevant to medical education providers, academic units that accept industry support, and medical professional societies.

Editorials

  • Who Is Sicker: Patients—or Residents? Residents' Distress and the Care of Patients

    • Linda Hawes Clever
    Ann Intern Med March 5, 2002 136:391-393

    Is burnout in residents a malignant disease? Do exhaustion, cynicism, and ineffectiveness start small, then grow, spread, and harm? If burnout in residents and other health professionals has been a silent but costly malignancy, the article by Shanafelt and colleagues in this issue makes a good start at exposing the problem.

  • Heeding the Plea To Deal with Resident Stress

    • Jordan J. Cohen
    Ann Intern Med March 5, 2002 136:394-395

    There is ample reason to be concerned about the health and welfare of today's medical residents. Indeed, data such as those presented by Collier and colleagues in this issue reconfirm what we have known for some time: The burdens that residents labor under are extracting an unacceptable toll on their well-being.

On Being a Doctor

  • Blockers

    • Jack Coulehan
    Ann Intern Med March 5, 2002 136:407-409

    The guy's an iceberg. I feel the cold breeze the moment I walk into the office, where he stands beside the examining table, his arms crossed, a thin man, pale eyes, dour face, measured stare.

Letters

  • Measuring Quality

    • Todd Gruber and
    • Ben Rudnitsky
    Ann Intern Med March 5, 2002 136:W1

  • The Crisis in Local Institutional Review Boards

    • Jamie Ellen Siegel,
    • Ann Vaughn,
    • and Elaine Baszczewski
    Ann Intern Med March 5, 2002 136:410

  • The Crisis in Local Institutional Review Boards

    • Alan M. Sugar
    Ann Intern Med March 5, 2002 136:410

  • The Crisis in Local Institutional Review Boards

    • Stephanie Nagy-Agren
    Ann Intern Med March 5, 2002 136:410-411

  • The Crisis in Local Institutional Review Boards

    • William J. Burman and
    • Randall R. Reves
    Ann Intern Med March 5, 2002 136:411

  • Should We Screen for Depression in Primary Care?

    • Frederic W. Platt
    Ann Intern Med March 5, 2002 136:412

  • Should We Screen for Depression in Primary Care?

    • Marcia Valenstein,
    • Sandeep Vijan,
    • and John Zeber
    Ann Intern Med March 5, 2002 136:412

Medical Writings

  • Misconceptions about Lyme Disease: Confusions Hiding behind Ill-Chosen Terminology

    • Leonard H. Sigal
    Ann Intern Med March 5, 2002 136:413-419

    Twenty-five years after the description of Lyme disease, we have come far: Clinical features are well described, accurate tests support the diagnosis, effective therapy is available, and there is an effective vaccine. It is time to reflect on the jargon that contributes to misdiagnosis and mistreatment.

Medical Writings: Book Notes

Ad Libitum

Book Listings

Medical Notices

Summaries for Patients

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This Issue

March 5, 2002; 136 (5)
  1. Articles
  2. Brief Communications
  3. Academia and Clinic
  4. Perspectives
  5. Position Papers
  6. Editorials
  7. On Being a Doctor
  8. Letters
  9. Medical Writings
  10. Medical Writings: Book Notes
  11. Ad Libitum
  12. Book Listings
  13. Medical Notices
  14. Summaries for Patients

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