Requiring all surgeries to be referred to in-house dermatologic surgeons: Is it ethical or a profit haven?

There has been a trend in the United States of consolidation and corporatization of solo and small practices into larger groups. Many of these larger groups are owned by either hospital consortiums or private equity. Such larger practices often have their own Mohs surgeon to whom general dermatologists within these corporatized dermatology practices have been mandated to refer surgical patients.

Assessing the feasibility of applying machine learning to diagnosing non-effusive feline infectious peritonitis.

Feline infectious peritonitis (FIP) is a severe feline coronavirus-associated syndrome in cats, which is invariably fatal without anti-viral treatment. In the majority of non-effusive FIP cases encountered in practice, confirmatory diagnostic testing is not undertaken and reliance is given to the interpretation of valuable, but essentially non-specific, clinical signs and laboratory markers. We hypothesised that it may be feasible to develop a machine learning (ML) approach which may be applied to the analysis of clinical data to aid in the diagnosis of disease.

An integrated gene-to-outcome multimodal database for metabolic dysfunction-associated steatotic liver disease.

Metabolic dysfunction-associated steatotic liver disease (MASLD) is the commonest cause of chronic liver disease worldwide and represents an unmet precision medicine challenge. We established a retrospective national cohort of 940 histologically defined patients (55.4% men, 44.

Exploring the Development of Nursing Clinical Judgment Among Students Using Virtual Reality Simulation.

Background: Virtual reality simulation (VRS) is an emerging pedagogy in nursing education.

Purpose: The purpose of this qualitative exploratory study was 2-fold: to determine nursing students' learning experiences when engaged in VRS, and to explore learners' problem-solving/clinical reasoning approach after participation in a VRS clinical scenario. This article reports student descriptions of clinical reasoning/clinical judgment when considering their VRS experience.