Delay of Pregnancy Among Physicians vs Nonphysicians JAMA Intern Med 2021 May 03;[EPub Ahead of Print], MC Cusimano, NN Baxter, R Sutradhar, E McArthur, JG Ray, AX Garg, S Vigod, AN Simpson It has been hypothesized based on just rumor and people repeating it that women physicians are more likely to delay childbearing than nonphysicians. This population-based retrospective cohort study looked to see if that was true. They compared childbirth rates among physician and compared it to nonphysicians Physicians were less likely to experience childbirth at younger ages (HR for childbirth at 15–28 years, 0.15; P < .001) and more likely to experience childbirth at an older age (HR for 29–36 years, 1.35; P < .001; HR for ≥37 years, 2.62; P < .001). BUT BUT BUT do they delay child birth all together?? Well in simple terms, NO. female physicians have children rates equal to that of nonphysician women over time, although the time Basically this says what lots of us know in the women try not to have children during med school or residency because the cutoff was age 28 and if you go through it as fast as possible you are 29-30 provided you take the fast route possible. I think this makes sense an I would have liked to see them separate it out by age even a little more but overall I think residency and med schools should change the mantra and how the handle women becoming pregnant during training. It seems odd to me that so much emphasis these days is on burn out and making sure you have family time but often women are punished for having children during training years…..you cant have your cake and eat it to, you cant say one thing but do another…..although to me that is exactly what it seems like. Gender, Race, Ethnicity, and Sexual Orientation of Editors at Leading Medical and Scientific Journals: A Cross-sectional Survey | Medical Journals and Publishing | JAMA Internal Medicine | JAMA Network You have to know who was in the room… If a bunch of old white men created the machine or law or toy then it will be bias towards then and on the counter to that if a bunch of black or asiain people made the same law, toy, machine then it will be bias towards them and their perception of reality. It is our own individual bias that exist no matter how hard we try to fight it. This paper looked to see what is the general break down of the editorial staff of major medical and science journals and while there was a nice almost 50/50 split of men and women the mean age was 51 yrs old and white made up 77% with Hispanic and black only making up 5% COMBINED!! I am not saying we need to hire all Hispanic or black editors for major medical journals but maybe a few more… I say it like this, if I was an editor for lets say Jama internal medicine and in my previous life I was a vascular surgeon, Don’t you think even if I fought it that my bias would be to publish more papers that have something to do with vascular surgery or could somehow be related to vascular surgery. Our perception of reality is what we choose to see and the publication of paper is no different Annals for Hospitalists Inpatient Notes - A Critical Look at Procalcitonin Testing in Pneumonia | Annals of Internal Medicine (acpjournals.org) We all want a test that will help us—we all would love for procal to work but does it?? In addition, the 2019 joint guideline on community-acquired pneumonia (CAP) from the American Thoracic Society and Infectious Diseases Society of America recommends against the use of PCT testing to guide initiation of empirical antibiotic therapy for radiologically confirmed pneumonia (strong recommendation, moderate evidence) This is largely based on a study of 1735 patients admitted with CAP who had bronchs or procedures to identify pathogens… viral and bacterial pathogens were identified in 24% and 14% of cases, respectively. the negative predictive value of a PCT value less than 0.1 ng/mL was 82.4% (95% CI, 71.2% to 86.9%). Said differently, approxima(continued)