Replay: Resident Call Schedules in the ICU and Thyroid Nodules


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This week we are replaying one of our favourite old episodes, due to many of our team members being away at the Canadian Society of Internal Medicine Conference.

Originally aired on April 17, 2015, Nathan and Amol want you to understand the following:

1. There was no significant difference between three different call schedules in the ICU in terms of resident sleepiness or patient outcomes.

2. Benign thyroid nodules are indolent and have very low risk of progressing to cancer, suggesting that guidelines for nodule surveillance could be revised.

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The papers

CS Parshuram et al. Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. CMAJ. 2015 Mar 17;187(5):321-9.

C Durante et al. The Natural History of Benign Thyroid Nodules. 2015 Mar 3;313(9):926-35.  (PubMed).

Good stuff

A Certified Medical Controversy, Kurt Eichenwald, Newsweek. April 7, 2015.

Death Café Starts up in Halifax, Jennifer Henderson, CBC News. March 30, 2015.

Clinical Pearl Jam

J Liira et al. Pharmacological interventions for sleepiness and sleep disturbances caused by shift work. 2015 Mar 3;313(9):961-2. 

 

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