Introduction: In our center, half of all recommendations made by an internist about perioperative anticoagulation management are not followed surgical team members. We aimed to understand the barriers implementing recommendations.Methods: This was a prespecified analysis interviews with members individual- and systems-level drivers missed recommendations. Interviews were guided Theoretical Doma...

Does general internal medicine in Belgium have a future? This question, which was recently raised in an editorial in this journal (1), is pertinent. Medicine is becoming increasingly technical and complex, leading to progressive specialization and even ‘super-specialization’. For instance, a cardiologist may focus on revalidation, transplantation, interventional cardiology, electrophysiology, e...

To solve a problem, a person often asks questions of someone with more expertise. This paper reports on a study of the types of questions asked and how the experts are chosen. In the study, sixty-three first-year medical students responded to clinical scenarios, each describing a patient affected by a toxin and asking questions concerning the identity of the toxin and its characteristics. After...

OBJECTIVE To follow up Japanese patients with type 1 diabetes for a maximum of 40 years to examine when they transitioned from pediatric care to adult care and to explore whether the attending physician, i.e., pediatrician or internist, was associated with prognosis. METHODS Participants consisted of 1,299 patients who had been diagnosed as having type 1 diabetes at less than 15 years old bet...