Effect of modest pay-for-performance financial incentive on time-to-discharge summary dictation among medical residents.

Objective: Evaluate the effect of a modest financial incentive on time-to-discharge summary dictation among medicine residents.

Background: Pay-for-performance incentives are used in a number of health care settings. Studies are lacking on their use with medical residents and other trainees.

Scapholunate interosseous ligament disruption in professional basketball players: treatment by direct repair and dorsal ligamentoplasty.

In the authors' experience scapholunate interosseous ligament (SLIL) disruption with resultant scapholunate dissociation (SLD) is the most frequent disabling carpal injury among professional basketball players. Prompt diagnosis, precision surgical repair, and intensive sport-specific rehabilitation are requisites for optimal recovery. This article reports the techniques and results of a consistent surgical protocol comprising accurate carpal reduction, direct SLIL repair, and dorsal intercarpal ligament augmentation for 25 professional basketball players with disabling SLD.

Care coordination.

As health care grows more complex, improving care coordination is essential.

Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety?

Purpose: The relationship of the quality of teaching hospitals' clinical performance to resident education in quality and patient safety is unclear. The authors studied residents' knowledge of these areas in major teaching hospitals with higher- and lower-quality performance rankings. They assessed the presence of formal and informal quality curricula to determine whether programmatic differences exist.

An unusual case of pronator syndrome with ipsilateral supracondylar process and abnormal muscle mass.

We report a case of pronator syndrome with an ipsilateral supracondylar process, where the median nerve was compressed as it pierced an abnormal muscle bundle that originated from the supracondylar process.