Assessing residents' prescribing behavior in renal impairment

Prescribing for older people with chronic renal impairment.

BACKGROUND Renal function is an important prescribing consideration. On average, glomerular filtration rate declines by about 10 mL/min every 10 years after the age of 40. Renal impairment may cause medicines to accumulate or cause toxicity, especially if the medicine has a narrow therapeutic index. OBJECTIVE To present an overview of prescribing considerations in the primary care setting for...

Assessing residents in phacoemulsification.

Dear Editor: Since the American Board of Ophthalmology introduced surgical skills as a seventh competency to complement the 6 core competencies of residency education as endorsed by the Accreditation Council for Graduate Medical Education, there has been a push to create explicit methods to assess resident surgical performance. Here we describe the results of a reliability study of the Subjecti...

Assessing gait and balance impairment in elderly residents of nursing homes

[Purpose] The risk of falls in the elderly is an important public health problem. Suitable tests may help detect those at risk of falling. This study determined which balance test for older adults generates the most reliable results in terms of fall risk assessment, based on the number of falls over the last 12 months. [Subjects and Methods] A total of 153 individuals (31 males, 122 females, ag...

Comment on Cisplatin-Induced Renal Impairment

Retrospective Evaluation of the Prescribing Behavior of Residents with respect to Nephrotoxic Drugs

This study is a preliminary analysis of the prescription behavior of residents in a teaching hospital, with respect to nephrotoxic drugs during a 2-month period. The overdose rate was 3%. Only 5.1% of the doctors were responsible for 51% of the nephrotoxic drug overdoses.