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Professional Education
Burnout: Spotlight on Improving Practice Efficiencies
In this CME program, Christine Sinsky, MD, highlights practice redesign strategies to help clinicians improve practice efficiencies, recover professional fulfillment, and improve patient safety.

Professional Education
Loss Lessons: Recognition of Wernicke Encephalopathy
Wernicke encephalopathy (WE) is a syndrome commonly seen in patients with alcohol use disorder who do not take adequate thiamine. WE should be suspected in any patient with conditions that may lead to malnutrition in combination with any of the following symptoms: altered mental status ophthalmoplegia, ataxia, delirium, and hypotension. Considered a medical emergency, it must be reversed to prevent permanent deficits. This case illustrates a cascade of errors which led to permanent disability. Some practical interventions to quickly recognize and reverse the condition are offered following the case presentation, which will be helpful for gastroenterology/gastroenterologists, ophthalmology/ophthalmologists, and neurology/neurologists.

AM Best Revises Outlooks to Positive for The Doctors Company and Subsidiaries
AM Best has revised the outlooks to positive from stable and affirmed The Doctors Company's financial strength rating (FSR) of A (Excellent) and the long-term issuer credit rating (ICR) of "a+”. The positive outlooks, FSR of A, and long-term ICR of “a+” have been affirmed for The Doctors Company, an Interinsurance Exchange, and its core subsidiaries, which collectively comprise The Doctors Company Insurance Group (TDC or TDC Group). 

Sep 01, 2023
Dental Case Studies
The case studies presented here provide insights into closed claim scenarios that can help dental professionals enhance their practices as they mitigate risks.

October 01, 2025, Cardiology Magazine
Incidental Findings in Cardiac Imaging: Clinical Opportunity or Legal Liability?
Advances in cardiac imaging technology are leading to increased detection of incidental, noncardiac abnormalities within scanned areas. Pulmonary nodules are one of the most common incidental findings. If the ordering practitioner does not follow up, an incidental finding may lead to patient harm and result in a malpractice claim.

Professional Education
Loss Lessons: Practicing Out of Bounds
Unlicensed staff are vital to efficient patient flow in medical practice. Healthcare organizations have many tasks that are safely and effectively carried out by skilled unlicensed support staff every day. To reach such efficiencies with safety and reliability, careful attention must be given to scope of practice and state and local statutes regarding delegation and supervision. Policies and protocols that outline the scope of practice for unlicensed staff to follow independently, and when they must consult with licensed staff, help even the most talented of your staff understand their boundaries. This case illustrates how informal verbal guidelines can blur the lines and cause well-meaning staff to cross the boundary lines of their scope leading to misdiagnosis and death.

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