Viewpoints

• Physician Medical Identity Theft
  •   » Author Audio Interview
• The Ethical Hazards and Programmatic Challenges of Genomic Newborn Screening
• Specialization in Medicine: How Much Is Appropriate?

Original Contribution

Variability in Reexcision Following Breast Conservation Surgery

In an analysis involving 2206 women who underwent partial mastectomy for invasive breast cancer at 1 of 4 institutions in 2003-2008, McCahill and colleagues assessed variation in reexcision rates after partial mastectomy. In an editorial, Morrow and Katz discuss quality measures for breast cancer surgery.

• » Abstract
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• » Editorial: The Challenge of Developing Quality Measures for Breast Cancer Surgery
• » Author Video/Audio Interview
• » JAMA Report Video

Original Contribution

Association of Emergency Department Length of Stay With Safety-Net Status

Fee and colleagues compared safety-net and non–safety net emergency department (ED) compliance rates to proposed length-of-stay measures for patients treated at 396 National Hospital Ambulatory Care Survey participants. In an editorial, Emerman discusses the complexities of ED length of stay reporting.

• » Abstract
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• » Editorial: National Reporting of Emergency Department Length of Stay: Challenges, Opportunities, and Risks

Original Contribution

Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010

Ogden and colleagues report on the prevalence of obesity in children and adolescents in 2009-2010 and compare results with 2007-2008 obesity rates.

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Original Contribution

Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010

Flegal and colleagues report on the prevalence of adult obesity in 2009-2010 and compare results with 2003-2008 estimates of obesity among US adults.

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Clinician's Corner | Clinical Crossroads

Weight Loss Strategies for Adolescents: A 14-Year-Old Struggling to Lose Weight

Ms K, a 14-year-old with a BMI of 40, has been struggling to lose weight since age 8. She has experienced peer harassment and familial tension. Ludwig discusses obesity's medical and psychosocial consequences and treatment challenges and reviews options for parenting strategies to facilitate behavioral change.

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• » CME Course

Editorials

• The Challenge of Developing Quality Measures for Breast Cancer Surgery
• National Reporting of Emergency Department Length of Stay: Challenges, Opportunities, and Risks

A Piece of My Mind

A Doctor's Kid

"The children of physicians, especially in the 1950s, could be forgiven for feeling a bit smug. Doctors were then held in maximum regard, and that reverence spilled over to their offspring."

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Clinical Challenge

Cutaneous Granuloma

An 85-year-old man, receiving oral methylprednisolone therapy for Sjögren syndrome, had a 5-month history of papules, plaques, and subcutaneous nodules on his face, trunk, and extremities that had not responded to topical therapies. What would you do next?

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Readers Respond

A Senior Primary Care Physician Trying to Take Good Care of His Patients

Dr A, a physician of 30 years, moved to a large practice. How would you address his frustration about quality improvement that focuses on populations instead of individual patients?

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Patient Page

Prostatitis

For your patients: Information about prostatitis. Past JAMA Patient Pages are also freely available in English and Spanish.

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Complete Table of Contents