David Winchester

David Winchester

@drdavemd.bsky.social

Cardiology & health services research. Posts do not reflect positions of my employers. K index 1.42.

105 Followers 89 Following 335 Posts Joined Dec 2024
2 days ago
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Anticoagulation Alone or With Antiaggregation in Patients With Coronary Artery Disease: Meta-Analysis of Randomized Trials View all available purchase options and get full access to this article.

"OAC alone for 6 to 12 months after ACS or PCI, including patients at high risk for atherothrombotic events, lowers cardiovascular mortality, major bleeding, and NACE without any apparent trade-off compared with OAC + SAPT" www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social

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2 days ago
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Cardiac Screening for Conditions Associated With Sudden Cardiac Death: Yield, Interventions, and SCA/SCD Incidence in 104,369 Young Individuals

104K screened to identify 280 with major CV conditions, cost (ECG ~$50 and echos ~$500, not clinician time) is about $26K per patient. 29 patients experienced sudden death, despite screening @accintouch.bsky.social www.jacc.org/doi/10.1016/...

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5 days ago
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Making Radiation Visible: Real-Time Detection of Scatter Radiation Leaks While Using Enhanced Radiation Protection Systems View all available purchase options and get full access to this article.

Novel camera can visualize scatter radiation in real time www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social

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1 week ago
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Journal of Nuclear Cardiology (JNC) - ASNC How To Submit a Manuscript to the JNC ​View the instructions on creating an account. Earn Journal CME/CE Credit Claim Author AMA PRA Category 1 Credits™ JNC Early Career Editorial Board: Call for…

JNC Early Career Editorial Board: Call for Applications, due by April 4 www.asnc.org/news-publica... @asnc.bsky.social

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1 week ago
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Majority Of Family Physicians Still Choose To Practice In The State Where They Were Trained | Health Affairs Journal Given the recent expansion of US family medicine residency programs, we updated data on the link between training location and practice location and explored its relationship with primary care…

Most physicians practice where they train, among FM docs, CA, MN, OR, TX, VT retained >70% between 2007 and 2018, while <40% remained in RI, DC, and WY.https://www.healthaffairs.org/doi/10.1377/hlthaff.2025.01003

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1 week ago
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Primary Care Physician Trends: Dissatisfaction, Stress, And Burnout In The US And 9 Comparator Countries, 2012–22 | Health Affairs Journal Burnout and decreased well-being among primary care physicians threaten workforce sustainability and health outcomes. Understanding how primary care physician burnout and its mitigators differ across…

Burnout in primary care was 44% in the US, similar to UK, Canada, and New Zealand. Lowest in Netherlands/Sweden around 15-20%. www.healthaffairs.org/doi/10.1377/...

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1 week ago
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Health Affairs Journal

From 2018-2022, 451 Private equity primary care buyouts, staffing increased by 0.39 clinicians per practice, offset by departure of 0.22 www.healthaffairs.org/doi/10.1377/...

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2 weeks ago
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The Curious Clinicians: [Archive] More Right Than Left This is a reboot of Episode 66, originally posted back in March 2023, where investigated why tricuspid valve endocarditis is more common in persons who inject IV drugs. Read the show notes&nbsp;. to o...

Why is tricuspid valve endocarditis is more common in persons who inject IV drugs? curiousclinicians.libsyn.com/archive-more... @curiousclinpod.bsky.social

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2 weeks ago
YouTube
Should we use a lottery for residency selection? YouTube video by Sheriff of Sodium

Should we use a lottery for residency selection? www.youtube.com/watch?v=Cq4a... @jbcarmody.bsky.social Agree about UME incentives, that was one of the reasons that NBME used to justify creation of Step 2 CK

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2 weeks ago

"Are Thousands of Medical Cures Hiding in Plain Sight?" @freakonomics.bsky.social freakonomics.com/podcast/are-...

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2 weeks ago
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New guidelines on pulmonary embolus are out, they provide a framework for escalating therapy based on risk, derived from clinical, imaging, and lab assessment. The at-a-glance document provides a great quick summary. @accintouch.bsky.social www.jacc.org/doi/epdf/10.... www.jacc.org/doi/10.1016/...

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2 weeks ago
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The Curious Clinicians: Reboot! Hyperkalemia This week, we bring back a classic question for new interns and old hats alike: Why do we give calcium in hyperkalemia? You can read the show notes ! to obtain AMA PRA Category 1 Credits™ (0.5…

How does calcium "stabilize the membranes" in hyperkalemia? The Curious Clinicians lay out the evidence curiousclinicians.libsyn.com/reboot-hyper...

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2 weeks ago
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KFF Health Tracking Poll: Prior Authorizations Rank as Public’s Biggest Burden When Getting Health Care | KFF KFF's health tracking poll finds that beyond costs, insured adults say prior authorization is their biggest challenges when accessing care. About seven in ten (69%) insured adults say prior authorizat...

Survey by the Kaiser Family Foundation shows that the public's #1 healthcare concern is prior auth, nearly half of Americans have been denied, delayed, or forced into alternative care www.kff.org/public-opini...

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2 weeks ago
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441. Atrial Fibrillation: Ablation of Atrial Fibrillation with Dr. Jon Piccini Dr. Jon Piccini & CardioNerds to explore the trials, & management strategies for ablation of atrial fibrillation.

Ablation of Atrial Fibrillation with @cardionerds

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2 weeks ago
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More than half of Mississippi’s rural hospitals at risk of closure, report finds National analysis says 54% of the state’s rural facilities face financial pressure

More than half of Mississippi’s rural hospitals at risk of closure, report finds www.wapt.com/article/more... actual report: chqpr.org/downloads/Ru... Among Florida's rural hospitals, 36% at risk

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2 weeks ago

References on the increase in US healthcare spending from 1776 to present day www.ssa.gov/policy/docs/... www.cms.gov/research-sta... papers.ssrn.com/sol3/papers....

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2 weeks ago
Preventing Atherosclerotic Cardiovascular Disease in Young Male Androgen Abusers You have to enable JavaScript in your browser's settings in order to use the eReader.

Non-medical androgen use and risk of CV events onlinelibrary.wiley.com/doi/epdf/10....

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3 weeks ago
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Scientific and Technical Considerations of the World's First Beating Heart Transplantation in a Human: An Operator's View Download article citation: If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

First in human, ischemia-free, beating heart transplantation www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social #cardiosky

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3 weeks ago
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“Chapters are a great way for members to participate in ACC activities at a local level and get to do it in their own backyard.” -#ACCBOG Chair @drdavemd.bsky.social in a 🆕 REMARKable Conversations w/ #ACCPresident @chriskramermd.bsky.social and Dr. Eugene Yang.

Hear more 👉 https://bit.ly/4qCrmLL

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3 weeks ago
Differences in cardiac output based on thermodilution vs. direct Fick

Differences in cardiac output based on thermodilution vs. direct Fick www.ahajournals.org/doi/10.1161/... #cardiosky

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3 weeks ago
Advocacy Priorities of the American College of Cardiology at the 2025 Legislative Conference

Glad to share this summary of @accintouch.bsky.social Legislative conference in JACC Advances @jaccjournals.bsky.social www.jacc.org/doi/epdf/10.... #cardiosky

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1 month ago
YouTube
REMARKable Conversations | ACC Chapters and Sections Partnering to Improve Heart Health for All YouTube video by American College of Cardiology

REMARKable Conversations with @chriskramermd.bsky.social and Dr. Eugene Yang about @accintouch.bsky.social Chapters and Sections www.youtube.com/watch?v=pfLY...

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1 month ago
ACP Journals Can't sign in? Forgot your password?

1.1 mil doctors in US. In 2013, 3.5% (~38,500) stopped practice. In 2019, that increased to 4.9% (~53,900). There were ~40,000 PGY1 spots last year. The math suggests that as of 7 years ago, the US physician workforce was shrinking by >10,000 a year
www.acpjournals.org/doi/10.7326/...

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1 month ago
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Nutrition and Front-of-Package Food Labeling as a Catalyst for Cardiovascular Health: 2025 ACC Concise Clinical Guidance: A Report of the American College of Cardiology Solution Set Oversight Committe...

Defining ultra-processed foods is difficult, this new document from @accintouch.bsky.social and by Dr. Kim Williams et al does that and much more www.jacc.org/doi/10.1016/... #cardiosky

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1 month ago
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Hospital Staffing and Patient Outcomes After Private Equity Acquisition | Annals of Internal Medicine Background: After private equity acquisition, hospitals may experience changes in staffing with implications for patients. Objective: To examine hospital staffing and patient outcomes in emergency…

"After private equity acquisition, hospitals on average reduced salaries and staffing relative to nonacquired hospitals, notably in the EDs and ICUs, which are higher-acuity and staffing-sensitive areas." www.acpjournals.org/doi/10.7326/...

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1 month ago
Multimodality Imaging in the Diagnostic Work-Up of Patients With Cardiac Masses You have to enable JavaScript in your browser's settings in order to use the eReader.

Multimodality Imaging in the Diagnostic Work-Up of Patients With Cardiac Masses www.jacc.org/doi/epdf/10.... @jaccjournals.bsky.social #cardiosky

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1 month ago
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The Journal of the American College of… The Journal of the American College of Cardiology (JACC) stands as a leading global resource for impactful cardiovascular research, delivering essential peer-reviewed articles and crucial clinical…

'The prevalence and magnitude of CAD did not differ between recreational athletes with high vs low postexercise cTn, suggesting that most of the variation in exercise-induced cTn elevations is not attributable to occult CAD' @jaccjournals.bsky.social

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1 month ago
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Genotype-Guided vs Conventional Oral P2Y<sub>12</sub> Inhibitors in Acute Coronary Syndrome: A Combined Analysis of TAILOR-PCI and POPular Genetics View all available purchase options and get full access to this article.

New meta-analysis in @jaccjournals.bsky.social finds that antiplatelet treatment informed by genetic testing may reduce risk of adverse events
www.jacc.org/doi/10.1016/...

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1 month ago

Part four of @Freakonomics Guide to Getting Better on the current state of AI in healthcare freakonomics.com/podcast/can-...

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1 month ago
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Exploring mechanisms of how adipose tissue may contribute to HF www.jacc.org/doi/10.1016/... @jaccjournals.bsky.social #Cardiosky

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