A Longitudinal Multivariable Analysis: State Policies and Opioid Dispensing in Medicare Beneficiaries Undergoing Surgery.

Background: States have implemented policies to decrease clinically unnecessary opioid prescribing, but few studies have examined how state policies affect opioid dispensing rate trends for surgical patients.

Objective: To examine trends in the perioperative opioid dispensing rates for fee-for-service Medicare beneficiaries and the effects of select state policies.

Design And Participants: A retrospective cohort study using 2006 to 2018 Medicare claims data for individuals undergoing surgical procedures for which opioid analgesic treatment is common.

Contextualizing the Resurgence of U.S. Housestaff Union Activity.

There is a growing trend of resident and fellow physician unionization in the United States, with 14 new housestaff unions formed at private employers since 2022. This resurgence of housestaff union organizing parallels the last era of housestaff activism in the 1960s. Today's housestaff organizing takes place within the context of longstanding challenges in medicine, including the burnout and systemic inequities highlighted by the COVID-19 pandemic, and an increase in national activism and labor organizing.

Rhabdomyosarcoma in a Rabbit.

A geriatric Holland Lop rabbit presented for acute lameness. A pathologic fracture of the right distal femur associated with a pleomorphic rhabdomyosarcoma was diagnosed, and staging radiographs showed no overt metastasis upon initial presentation. The limb was amputated and submitted for microscopic examination.

Extending the scope of leadership identity development.

This article addresses the limitations of the existing leadership identity development literature and offers suggestions for extending the scope of knowledge and understanding of the topic to evolve leadership education research and practice. Authors suggest utilizing multi-level, complexity, and systems views in the study of leadership identity development as a way to explore beyond constructivist, individual-focused conventions that undergird the extant literature. It concludes with considerations for leadership educators to explore in efforts to expand and evolve their teaching, research, and practice related to leadership identity development.