Competence and capacity: the right practitioner for the right procedure?

British researchers conducted a pragmatic, randomized trial aiming to compare the effectiveness of doctors and nurses performing upper and lower endoscopy.  The authors enrolled 29 hospitals comparing 67 doctors to 30 nurses who performed endoscopic procedures on 1888 randomized patients Continue Reading …

A Policy Prescription for 2009

As a new dawn embraces the United States of America, President Barack Obama and the 111th Congress face several seemingly insurmountable challenges.  The armed forces are divided between two wars, the economy is in shambles, and the health care system is at Continue Reading …