RevCycle Intelligence (10/6, Bailey) reported, “More than half of new physicians receive over 100 job offers during their training, but many would not choose the health care field again, a survey from AMN Healthcare found.” The “2023 Survey of Final-Year Medical Residents; Many Job Choices, Many Reservations” included “241 responses from physicians in their last year of residency training.” Over 80% “of residents said they sometimes, often, or always experienced feelings of burnout during their training,” and “almost half (45%) of respondents said they often or always experienced burnout.”

Related Links:

— “New Physicians See Plenty of Job Offers but Burnout Impacts Choices,”Victoria Bailey, RevCycle Intelligence, October 6, 2023

The New York Times (10/5, Caron), in light of numerous and often inaccurate TikTok videos and social media posts defining dissociative disorders, differentiates between dissociative identity disorder (DID), depersonalization/derealization disorder, and dissociative amnesia. In spite of “the inclusion of D.I.D. in the D.S.M.-5., the American Psychiatric Association’s official manual of mental disorders, some psychiatrists and psychologists think that patients with symptoms of D.I.D. actually have borderline personality disorder.” According to the APA, people “who experience depersonalization can feel at times as though they are detached from their mind or body…like they are watching events happen to them,” while “derealization…refers to feeling detached from the environment as though the people and things in the world are not real, in some cases appearing like cardboard cutouts.” Dissociative amnesia “occurs in response to a variety of different types of trauma, and involves having blocks of time where you lose your identity and are not able to recall important information about your life.”

Related Links:

— “What Does It Really Mean to Dissociate?,”Christina Caron , The New York Times, October 5, 2023

The New York Times (10/5, Rabin) reports, “The rate of firearm fatalities among children under 18 increased by 87 percent from 2011 through 2021 in the” US, while “the death rate attributable to car accidents fell by almost half, leaving firearm injuries the top cause of accidental death in children,” according to findingsreleased Oct. 5 in a research brief in the journal Pediatrics. The study revealed that “some 2,590 children and teenagers under the age of 18 died of firearm injuries in 2021, up from 1,311 in 2011.”

ABC News (10/5, Martin, Huang) reports, “Researchers looked at data from the Centers of Disease Control and Prevention’s injury reporting system,” then “analyzed injuries leading to death from 2011-2021 and nonfatal injuries from 2011-2020.” Overall, the study team “found that fatal injury rates increased from about 14 deaths per 100,000 children in 2011 to over 17 deaths per 100,000 children in 2021,” with “firearm injuries” making “up the biggest portion of those fatal injuries.” HealthDay (10/5, Gotkine) also covers the study.

Related Links:

— “Gun Deaths Rising Sharply Among Children, Study Finds,”Roni Rabin, The New York Times, October 5, 2023

NBC News (10/4, Bellamy) reports that researchers have found that “experiencing discrimination may change how the brain and the gut communicate with each other.” This “disruption, the researchers say, could promote behaviors that increase people’s risk of obesity.” The study, which used brain scans, found that “in individuals who reported experiencing high levels of discrimination…photos of unhealthy, high-calorie foods triggered a larger response in the reward processing region of the brain, called the frontal-striatal region.” The findingswere published in Nature Mental Health.

Related Links:

— “Discrimination may disrupt how the brain and the gut talk to each other, raising risk of obesity, study finds,”Claretta Bellamy , NBC News, October 4, 2023

HCPlive (10/3, Derman) reports, “Antipsychotic dose reduction or discontinuation increases the risk of severe relapse in people with schizophrenia or other psychotic disorders,” investigators concluded in the findings of a 253-patient study published online Sept. 28 ahead of print in The Lancet Psychiatry. The study found that “gradually reducing antipsychotic dosage increases the risk of relapse for people with psychotic disorders and does not improve social functioning.”

Related Links:

— “Antipsychotic Dose Reduction or Discontinuation Can Lead to Severe Relapse,”Chelsie Derman, HCPlive, October 3, 2023