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Articles 
Jeffrey R. Lisse, Monica Perlman, Gunnar Johansson, James R. Shoemaker, Joy Schechtman, Carol S. Skalky, Mary E. Dixon, Adam B. Polis, Arthur J. Mollen, Gregory P. Geba for the ADVANTAGE Study Group* During 12-week treatment of osteoarthritis, patients taking rofecoxib were less likely to discontinue using medication because of gastrointestinal side effects than patients taking naproxen. The 2 drugs were equally effective in treating osteoarthritis.
Joseph Romagnuolo, Marc Bardou, Elham Rahme, Lawrence Joseph, Caroline Reinhold, and Alan N. Barkun Magnetic resonance cholangiopancreatography is a noninvasive imaging test with excellent overall sensitivity and specificity for showing biliary obstruction and its location. Although the test is less sensitive for detecting stones or malignant obstruction, the differences are small and may not be clinically important.
Mitchell L. Margolis, Jason D. Christie, Gerard A. Silvestri, Larry Kaiser, Silverio Santiago, and John Hansen-Flaschen Many general pulmonary outpatients and patients facing lung surgery believe that a thoracotomy promotes metastasis from lung cancer. This belief is particularly prevalent among African-American patients, and it may help to explain racial differences in rates of surgery for early-stage lung cancer.
Brief Communications
Alice S. Ho, Joseph J.Y. Sung, and Moira Chan-Yeung Early in the SARS epidemic, patients who had not been suspected of having SARS transmitted the coronavirus to many health care workers in a Hong Kong hospital. The outbreak of SARS in health care workers led the hospital to isolate suspected SARS cases and require health care workers to use protective devices.
Improving Patient Care
Leonard L. Berry, Kathleen Seiders, and Susan S. Wilder This article defines patient-centered access, identifies its primary characteristics, discusses its key principles, and considers its future evolution.
Academia and Clinic
Jeffrey L. Jackson, Patrick G. O'Malley, and Kurt Kroenke The authors recommend selective use of plain radiographs to evaluate knee pain. The Ottawa knee rules reliably identify patients who do not have knee fracture. A careful physical examination should suffice to decide when to refer patients with potential meniscal and ligament injuries, and clinical criteria rather than plain films are best for evaluating possible osteoarthritis.
Perspectives
Ezekiel J. Emanuel Severe acute respiratory syndrome (SARS) has caused a small number of deaths compared with other public health scourges, yet the SARS epidemic has much to teach us. The author describes 4 enduring lessons.
Editorials
Richard P. Wenzel and Michael B. Edmond The coronavirus that causes SARS is the latest in a series of emerging pathogens that challenge our global society. The virus has a remarkable ability to amplify its communicability to become an almost "perfect" nosocomial pathogen. We must institutionalize the critical lessons learned from managing the 2003 SARS epidemic as we prepare for the next emerging pathogen.
James W. Mold, Larry A. Green, and George E. Fryer The articles in the supplement to this issue show that internal medicine is committed to first-class training in geriatric medicine. So is family medicine. This undertaking is important and difficult, and the 2 disciplines should join forces wherever possible.
William R. Hazzard The progressive aging of the U.S. population presents an unprecedented demographic challenge to our health care system. To address this imperative, gerontology and geriatrics must become embedded into medical education at all levels. This editorial focuses on partnerships between general internal medicine and the field of geriatrics.
Letters Finding Ping
Priapism Induced by Proton-Pump Inhibitors and Misoprostol
Echinacea for the Common Cold
Alcohol, Postmenopausal Hormones, and Breast Cancer
Update in Hospital Medicine
Acute Migraine Treatment Guideline
An Unusual Case of Ischemic Bowel
Correction: Treatment of Chronic Hepatitis C in a State Correctional Facility
Correction: National Kidney Foundation Practice Guidelines for Chronic Kidney Disease
Elias Abrutyn
Laura Haynes
C. Seth Landefeld, Christopher M. Callahan, and Nancy Woolard
Craig D. Rubin, Heather Stieglitz, Belinda Vicioso, and Lynne Kirk
Steven R. Simon, Anne R. Fabiny, and Jamie Kotch
David C. Thomas, Rosanne M. Leipzig, Lawrence G. Smith, Kathel Dunn, Gail Sullivan, and Eileen Callahan
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