Publications by authors named "E N Marcus"

Article Synopsis
  • The outpatient continuity clinic is vital for internal medicine residency training, and the Primary Care Exception Rule (PCER) allows indirect supervision of residents during less complex patient visits.
  • The existing literature on the effects of the PCER is limited, yet it raises questions about its impact on patients, residents, attending physicians, and health systems.
  • Recommendations include avoiding PCER for critical diagnosis situations, advocating for competency-based supervision, and expanding the PCER to cover moderate-complexity visits, along with a call for further research in this area.
View Article and Find Full Text PDF

The history of intestinal transplantation can be traced back to the turn of the twentieth century. Although advancements have been made, the intestine still presents a greater challenge to transplantation than does that of other solid organs, experiencing higher rates of graft rejection and lower long-term survival. Increasingly, intestinal re-transplantation (re-ITx) is seen as a viable option and is now the fourth most common indication for ITx.

View Article and Find Full Text PDF

is a highly prevalent human gastric pathogen that causes gastritis, ulcer disease, and gastric cancer. It is not yet fully understood how injures the gastric epithelium. The Na,K-ATPase, an essential transporter found in virtually all mammalian cells, has been shown to be important for maintaining the barrier function of lung and kidney epithelia.

View Article and Find Full Text PDF

People experiencing homelessness are more likely to utilize emergency departments than their non-homeless counterparts. However, obtaining a bed in a homeless shelter for patients can be complex. To better understand the challenges of finding a safe discharge plan for homeless patients in the emergency department, our team conducted interviews with emergency department social workers and homeless shelter case managers in the Boston area.

View Article and Find Full Text PDF