ComPACT (Competency-Based Peer-Assisted Coaching and Tutoring): A Proposed Curricular Framework for Near-Peer Tutoring in Medical Education.

Near-peer tutoring (NPT) programs greatly prepare tutors for future teaching roles. However, without a comprehensive curricular framework, institutions may not adequately track the knowledge and skills tutors gain from these programs. We propose a competency-based peer-assisted coaching and tutoring (ComPACT) framework that captures tutors' progression as educators and supports their training through a community of practice.

Beta-Blocker Usage in Patients With Heart Failure With Reduced Ejection Fraction During Acute Decompensated Heart Failure Hospitalizations.

Acute decompensated heart failure accounts for more than 1 million hospitalizations in the United States every year. Beta-blockers are a first-line agent for patients experiencing heart failure with reduced ejection fraction, but beta-blocker use in patients hospitalized for acute decompensated heart failure remains low. We conducted an analysis of the existing evidence and guidelines to determine the conditions for prescribing beta-blockers to patients with acute decompensated heart failure.

Spontaneous coronary artery dissection: A review of medical management approaches.

Spontaneous coronary artery dissection (SCAD) is an underdiagnosed cause of acute coronary syndrome (ACS) that usually presents in young female patients. Risk factors include female sex, physical and emotional stressors, and fibromuscular dysplasia, and diagnosis is usually made by coronary angiography aided by intravascular ultrasound (IVUS) or optical coherence tomography (OCT). While conservative treatment is usually preferred over percutaneous coronary intervention or surgery, medical management of SCAD has been under debate.