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Andrew G Villanueva, MD(*); Leslie Mitchell, RPH; Diane Ponticelli, MS RN CS A/GNP and April S Levine. Pulmonary and Critical Care Medicine, Lahey Clinic Medical Center, Burlington, MA; Pharmacy. Lahey [...]

Intrathoracic extramedullary hematopoiesis rarely involves the pleura and is usually asymptomatic. We report a 73-year-old woman with myelofibrosis who had pleural involvement with extramedullary hematopoietic tissue that produced a massive [...]

PURPOSE: Medical thoracoscopy is valuable in the diagnosis of pleural disease. Previously, video-assisted thoracoscopic surgery performed by cardio-thoracic surgeons has played a role. Recent experience by pulmonologists with medical thoracoscopy [...]

Morning report is a traditional ritual on academic medical services. At morning report, house staff and faculty review case management and the principles of clinical medicine. To understand better the role and function of morning report and to assess its value for supervision, teaching, and evaluation of clinical knowledge and skills, a survey of academic departments of medicine was conducted. A questionnaire was sent to 124 departments of medicine represented by the membership of the Association of Professors of Medicine. The response rate was 94%. Morning report was important for teaching and was also useful for evaluation of resident performance and quality of clinical care. Some potential problems were identified when the conference is used for peer review and performance evaluation. Morning report stands out as the only large, formal conference generally used for the evaluation of case management and the performance of medical residents. As such, its limitations must be recognized. Recommendations are made for taking advantage of the unique educational opportunities available at morning report.(JAMA 1986;256:730-733)