Completion of Advance Directives and Documented Care Preferences During the Coronavirus Disease 2019 (COVID-19) Pandemic.

This cohort study examines changes in completion of and expressed preferences on an online advanced directive platform during the coronavirus 2019 (COVID-19) pandemic.

Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations.

Importance: The United States spends more than $12 billion annually on graduate medical education. Understanding how residents balance patient care and educational activities may provide insights into how the modern physician workforce is being trained.

Objective: To describe how first-year internal medicine residents (interns) allocate time while working on general medicine inpatient services.

Google search histories of patients presenting to an emergency department: an observational study.

Objective: To test patients' willingness to share and link their prior Google search histories with data from their electronic medical record (EMR), and to explore associations between search histories and clinical conditions.

Design: Cross-sectional study of emergency department (ED) patients from 2016 to 2017.

Setting: Academic medical centre ED.

Education Outcomes in a Duty-Hour Flexibility Trial in Internal Medicine.

Background: Concern persists that inflexible duty-hour rules in medical residency programs may adversely affect the training of physicians.

Methods: We randomly assigned 63 internal medicine residency programs in the United States to be governed by standard duty-hour policies of the 2011 Accreditation Council for Graduate Medical Education (ACGME) or by more flexible policies that did not specify limits on shift length or mandatory time off between shifts. Measures of educational experience included observations of the activities of interns (first-year residents), surveys of trainees (both interns and residents) and faculty, and intern examination scores.

Where are lifesaving automated external defibrillators located and how hard is it to find them in a large urban city?

Objectives: Automated external defibrillators (AEDs) are lifesaving, but little is known about where they are located or how to find them. We sought to locate AEDs in high employment areas of Philadelphia and characterize the process of door-to-door surveying to identify these devices.

Methods: Block groups representing approximately the top 3rd of total primary jobs in Philadelphia were identified using the US Census Local Employment Dynamics database.

The New York Times readers' opinions about paying people to take their medicine.

Background: There has been considerable interest in using financial incentives to help people improve their health. However, paying people to improve their health touches on strongly held views about personal responsibility.

Method: The New York Times printed two articles in June 2010 about patient financial incentives, which resulted in 394 comments from their online audience.