Articles related toGeneral

Behind clinic doors: a history of covert recording legislation and implications for clinical practice

Judith J. Regan, MD, JD, MBA; Donald N. Pyle, DO; Mousa Botros, MD; Renee L. Stewart, JD; Kendyl L. Stewart, MD; Rebecca S. Stenersen, DO; and Kyra Frank, JD
Access to mobile recording devices and the prevalence of telehealth encounters have increased dramatically in recent years. These circumstances create opportunities for patients to record their clinical encounters, and some states do not require permission from the physician to do so. State laws that define requirements to record conversations vary significantly, and clinicians may be unaware of their own states’ policies. This commentary explores the legislation governing recording laws, describes several cases involving recorded healthcare information, and reviews studies examining the risks and benefits of recording encounters.
Advance Article

A crisis within the physician shortage in the United States: the need for consistent 12-week paid parental leave

Kali Chiriboga, DO, MBA
Parental leave policies for physicians in the United States remain inconsistent and inadequate, despite growing recognition of their critical role in supporting families’ well-being and retention in the workplace. This review and policy proposal highlights the unique challenges faced by physicians and the urgent need for targeted federal and state-level policy interventions to advance paid parental leave and improve the physician workforce sustainability in the United States.
Advance Article

The impact of discontinuation and non-publishing of osteoporosis clinical trials

Daxton Kennington, BA; Andrew Simonsen, BS; Whitney Shae, MS, PhD; and Catherine Satterwhite, MPH, MSPH, PhD
Randomized controlled trials (RCTs) are essential for developing effective treatments, but when trials are discontinued or unpublished, valuable data are lost. This study aims to evaluate the rates and characteristics of discontinuation and nonpublication among US-registered phase 3 and 4 RCTs investigating osteoporosis therapies from 2000 to 2022.
Advance Article

Necrobiosis lipoidica arising in a port wine stain treated with topical ruxolitinib

Neena Edupuganti, DO; Jay Nguyen, DO; Fahad Siddiqui, DO; Victoria Dukharan, MD; and Rajiv Nathoo, MD
Necrobiosis lipoidica (NL) is a rare chronic granulomatous disease that is historically associated with diabetes mellitus. The exact etiology and pathogenesis are not fully understood; however, microangiopathy is believed to be a contributing factor. NL classically manifests as erythematous papules that coalesce into plaques commonly localized to the lower extremities. The authors present a case of NL arising within a port-wine stain, in which the NL was successfully treated with topical ruxolitinib monotherapy.
J Osteopath Med; 126(6): 257-260

Equity reporting in systematic reviews and meta-analysis for geographic atrophy: a PROGRESS-Plus assessment

Ryan Emmert, BS; Tyler McKenzie, BS; Dawsyn Smith, BS; Hanna Russell; Gracie Schultheis, BS; and Micah Hartwell, PhD
Systematic reviews and meta-analyses (SRMAs) are crucial for treatment development, and they must provide guidelines that represent diverse patient demographics to promote equitable health care. As new research and treatment modalities are being developed for geographic atrophy, establishing an equitable research foundation is vitally important to physicians as they personalize their treatment plans. This analysis aims to determine whether SRMAs pertaining to geographic atrophy are reporting equity-related items utilizing the PROGRESS-Plus framework.
J Osteopath Med; 126(2): 79-85

The hospitalist’s paradox: on pay, perception, and the true value of a healer in the valley of the sun

Gary P. MacDonald, DO, MS, FAAFP
This commentary examines the sentiments of a Phoenix-area hospitalist who feels underpaid despite earning an objectively high salary. The article concludes that true professional value transcends monetary figures, calling for systemic changes to better acknowledge and support physicians while ensuring their profound contributions are recognized beyond financial metrics.
J Osteopath Med; 126(4): 159-161

An unusual chest lesion with dual pathologies

Jessica Colon, BS; Jay Nguyen, DO; Samuel Stahly, DO; Gulsun Erdag, MD; and Rajiv Nathoo, MD
The authors report the case of a 66-year-old male with a history of granuloma faciale (GF) and multiple basal cell carcinomas (BCCs) who presented with a pearly plaque on the chest. Biopsy revealed extrafacial GF with a coincidental BCC, representing a rare case of a collision tumor.
J Osteopath Med; 126(3): 119-122

Private equity in healthcare: implications and policy recommendations

Maxim Jestin, DO
Private equity (PE) involvement in healthcare has generated considerable debate regarding its implications for patient care, healthcare quality, and system sustainability. This Commentary provides an overview of both sides and offers policy recommendations addressing some of the detrimental effects of PE practices on the healthcare sector, to ensure that patient well-being remains the priority.
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Geographical distribution and match trends of osteopathic residents in otolaryngology residency programs: a cross-sectional analysis

Luke Reardon, BS; Brenton Stucki, BS; Deepthi Akella, DO; and Michele M. Carr, DDS, MD, PhD
The objective of this study was to assess the geographical distribution, training site characteristics, and match patterns of osteopathic otolaryngology residents from 2020 to 2024, including relationships with medical school location and program history (historically AOA-accredited vs. historically allopathic-only).
J Osteopath Med; 125(12): 563-572

Geographical distribution of osteopathic urology residents and match trends in the United States

Ryan Wong, BS; Bebe Eke, BS; Andrew D. Vogel, MS; Bracken Burns, DO; and Kristen Conrad-Schnetz, DO
This study aimed to examine the number of DO graduates in urology residency programs over time and map their current distribution throughout the United States.
J Osteopath Med; 125(11): 533-537