Practice Management

Using practical clinical examples, the authors explain the subset of artificial intelligence called large language models, highlighting the capabilities and limitations of these systems.

Further guidelines are needed to address the challenges faced by patients traveling to receive medical care away from their home country or returning to their home country to die.

The authors offer a framework for providing equitable care to terminally ill patients who seek the comfort of dying at home.

Hospitalist James Pile, MD, and nephrologist George Thomas, MD, join the Journal staff as deputy editors.

Artificial intelligence is developing rapidly, but caution is needed when interpreting results from studies in clinical settings involving general-purpose platforms like ChatGPT.

Evidence shows that unnecessary daily testing is only a minor contributor to anemia and healthcare costs for most inpatients. The effect on patient experience has not been definitively established.

Three articles this month address how we order clinical tests, one on the question of treating the patient with asymptomatic bacteriuria, the others on the advantages and disadvantages of standing orders for “daily labs” for inpatients.

Considerations include indirect costs, downstream testing or other workup based on minor abnormalities uncovered during daily testing, and shortages in staff and supplies.

Despite the importance of providing guideline-concordant care, there are still barriers to implementing evidence-based recommendations in providing care for patients with chronic obstructive pulmonary disease.

We can do better at making the clinical note a useful tool for communication in the electronic medical record.