Association of a Gamified Journal Club on Internal Medicine Residents' Engagement and Critical Appraisal Skills.

Background: Prior literature demonstrates internal medicine residents have suboptimal competence in critical appraisal. Journal clubs are a common intervention to address this skill, but engagement and critical appraisal skill improvement are variable.

Objective: We evaluated journal club engagement and critical appraisal skills after implementation of a gamified format.

Mycobacterium tuberculosis concealed by sacroiliitis.

A 77-year-old African American female with rheumatoid arthritis presented with fever and unsteady gait. She was started on broad-spectrum antimicrobials due to CT evidence for sacroiliitis and psoas abscess and underwent partial excision of her sacroiliac bone and drainage of the abscess. One of four blood cultures grew and the patient was sent home with intravenous ampicillin for 6 weeks.

An Ethical Conflict Between Parents and Clinician in a Child with a Language Delay.

A developmental-behavioral pediatrician evaluated a 2-year-old child for developmental delays. He determined that the child had mild expressive language delays; the child had an intelligible vocabulary of 20 words and at least 20 other words that he said unclearly. He said a few contracted 2-word phrases, such as "gimme" and "its ok.

An ethical conflict between parents and clinician in a child with a language delay.

A developmental-behavioral pediatrician evaluated a 2-year-old child for developmental delays. He determined that the child had mild expressive language delays; the child had an intelligible vocabulary of 20 words and at least 20 other words that he said unclearly. He said a few contracted 2-word phrases, such as "gimme" and "its ok.