Latest Updates

Principles of Neurologic Ethics

Jay M. Baruch, MD, Matthew S. Siket, MD
    • Informed refusal as opposed to informed consent for time-sensitive interventions in Emergency Medicine, such as thrombolysis and endovascular clot retrieval in ischemic stroke
    • Moral distress as a new concept affecting emergency nurses and providers. It describes the sense of being unable to provide the care needed for a patient due to a mix of time, environment and resource stressors. It influences decision-making, wellness, and burnout.
    • Artificial intelligence in medical decision-making

Paraphilic Disorders

Atef Bakhoum, MD, PhD, Waguih William IsHak, MD, FAPA, Lancer Naghdechi, DO, MS
    • Paraphilias are differentiated from paraphilic disorders in the DSM-5 in an effort to recognize normal behavior.

Nonobstetrical Surgical Conditions

Sun Min Kim, MD, PhD, Joong Shin Park , MD, PhD
    • Recognizing the significance of prompt diagnosis and interventions for nonobstetric surgical emergencies during pregnancy
    • Understanding the difficulty in making a diagnosis in pregnant women due to the anatomic and physiologic changes that occur during pregnancy
    • Recognizing the importance of a multidisciplinary team approach (obstetricians, surgeons, anesthesiologists, and neonatologists) in the management of nonobstetric surgical emergencies in pregnant women

Surgical Treatment for Hepatocellular Carcinoma in the Era of Multiple Staging and Algorithm

Katharina Joechle, MD, Jean-Nicolas Vauthey, MD, FACS, Suguru Yamashita, MD, PhD
    • BCLC as the most widely accepted clinical staging system, recent update of the AJCC/UICC staging, AJCC/UICC staging system to predict outcome following surgical treatment

Sexual Dysfunction: Hypoactive Sexual Desire Disorder

John E Buster, MD
    • In postmenopausal HSDD, replacement transdermal testosterone and estradiol are shown effective in clinical trials
    • In selected premenopausal HSDD, flibanserin, 5-HT1A receptor agonist and 5-HT2A receptor antagonists, is shown modestly effective
    • HSDD afflicting women identified as treatable but significant national healthcare priority in the United States.

Surgical Treatment for Hepatocellular Carcinoma in the Era of Multiple Staging and Algorithm

Katharina Joechle, MD, Jean-Nicolas Vauthey, MD, FACS, Suguru Yamashita, MD, PhD
    • BCLC as the most widely accepted clinical staging system, recent update of the AJCC/UICC staging, AJCC/UICC staging system to predict outcome following surgical treatment

Communication of Bad News

Preethi Balakrishnan, MD, Paul K Mohabir, MD
    • Physicians need to be adept at communicating bad news in its entirety to patients to enable a decision-making process about disease management.
    • Empathy is key in communicating bad news. Reactive rather than parallel empathy is more effective.
    • Patients benefit from pairing hope to bad news but do not prefer that the bad news is underplayed.
    • Models (SPIKES and Expanded Four Habits Model) are available to help structure this challenging interaction.

Sexual Assault

Celeste S Royce, MD, Nisha Verma, MD
    • Trauma-informed care has become a guiding force for providers taking care of patients that have experienced sexual assault and sex trafficking.
    • The long-term effects of sexual trauma have been increasingly recognized, allowing health care providers to screen for, identify, and help treat these sequela.
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