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The Cost of Defensive Medicine on 3 Hospital Medicine Services. Rothberg et al.

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Use of Medications of Questionable Benefit in Advanced Dementia. Tjia et al.

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Buprenorphine for Prescription Opioid Dependence

This randomized clinical trial reports that buprenorphine taper is less efficacious than ongoing maintenance treatment in patients dependent on prescription opioids in primary care.

Impulse Control Disorders and Dopamine Agonists

This review of FDA adverse event reports describes an association between dopamine receptor agonists and pathological gambling, hypersexuality, and compulsive shopping.
Invited Commentary:Finding Meaningful Patterns in Adverse Drug Event Reports
Invited Commentary:Dopamine Receptor Agonist Drugs and Impulse Control Disorders

Communication About Serious Illness Care Goals

This Special Communication reviews the evidence and describes best practices in conversations about serious illness care goals, concluding that such communication is an intervention that should be systematically integrated into our clinical care structures and processes.

Lowering Costs Through Inclusive Shared Savings

In this essay, Ezekiel Emanuel and Harald Schmidt propose that sharing savings with patients may be a way to incentivize cost-saving decisions when faced with treatments of similar efficacy and varying costs.
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US Cigarette Smoking–Attributable Morbidity

This modeling study estimates that US adults have approximately 14 million major medical conditions attributable to smoking.
Invited Commentary

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Interview with Brian L. Rostron, PhD, MPH, author of Estimation of Cigarette Smoking–Attributable Morbidity in the United States, and Steven A. Schroeder, MD, author of Even More Illness Caused by Smoking Than Previously Estimated


Estimation of Cigarette Smoking–Attributable Morbidity in the United States

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JAMA Internal Medicine has several sections devoted to contemporary issues confronting internists.

Challenges in Clinical Electrocardiography

Case studies of patients with challenging electrocardiograms.

Less is More

Articles about how overuse of medical care may result in harm and how less intervention may lead to better health.

Teachable Moments

JAMA Internal Medicine is pleased to launch a new subsection of Perspectives, Teachable Moments, to bring attention to the harms that can result from medical overuse and from underuse of needed medical interventions. The format for submitting an entry is described here; manuscripts should be submitted here as usual. Note we need written permission from patients to include their story.

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Author Mara A. Schonberg, MD, MPH, discusses Development and Evaluation of a Decision Aid on Mammography Screening for Women 75 Years and Older.

Author Russell P. Harris, MD, MPH, discusses The Harms of Screening: A Proposed Taxonomy and Application to Lung Cancer Screening.

Author Karen J. Wernli, PhD, discusses Patterns of Breast Magnetic Resonance Imaging Use in Community Practice.

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