Walking the tightrope: communicating overdiagnosis in modern healthcare.

Medicalisation and Overdiagnosis: What Society Does to Medicine

The concept of overdiagnosis is a dominant topic in medical literature and discussions. In research that targets overdiagnosis, medicalisation is often presented as the societal and individual burden of unnecessary medical expansion. In this way, the focus lies on the influence of medicine on society, neglecting the possible influence of society on medicine. In this perspective, we aim to provi...

Balancing Selection: Walking a Tightrope

Combining modern transgenic techniques with fitness measurements and enzyme activity assays, a new study demonstrates a habitat-dependent tradeoff between two alleles of a key detoxification enzyme in fruit flies. The elegant findings provide concrete, elusive evidence supporting a foundational and controversial theory about the maintenance of genetic variation.

Walking the tightrope: creation of the physician scorecard at the Rouge Valley Health System.

INTRODUCTION / GOAL Using resources efficiently while raising the bar on quality is an ongoing struggle within the healthcare system. Achieving this delicate balance is a key determinant of an organization’s ability to meet its strategic direction. Recognizing that individual physician performance drives both cost and quality of care, Rouge Valley Health System, a twohospital and multi-site org...

Walking the Clinical Tightrope: Between Teaching and Doing

Tightrope walking: A new technique in ankle syndesmosis fixation

Over the past few years, several studies have demonstrated favorable clinical outcomes and low complication rates using the ankle Tightrope® syndesmosis fixation system. The traditional surgical procedure of screw fixation for syndesmosis injury is associated with high complication rates of loosening, screw fracture, nonanatomic fixation, and postoperative syndesmotic diastasis. It is expected ...