On 2014 Sep 20, Ryan Radecki commented:

Post-publication commentary:

"Appropriate Resource Utilization Can Be Taught!"

At least, that is the implication of this paper – and even though it’s probably not the most reliable demonstration of such an effect, its observations are likely valid.

This is a very convoluted study design aiming to comment upon whether residents trained in “conservative” practice environments differed from residents trained in “aggressive” practice environments. However, “conservative” and “aggressive” were defined by utilizing a Medicare database to calculate the “End-of-Life Visit Index”. Residents trained in a region where elderly patients received greater frequency of inpatient and outpatient care at the end-of-life were judged to have trained in an “aggressive” environment....

http://www.emlitofnote.com/2014/09/appropriate-resource-utilization-can-be.html

On 2014 Sep 20, Ryan Radecki commented:

Post-publication commentary:

"Appropriate Resource Utilization Can Be Taught!"

At least, that is the implication of this paper – and even though it’s probably not the most reliable demonstration of such an effect, its observations are likely valid.

This is a very convoluted study design aiming to comment upon whether residents trained in “conservative” practice environments differed from residents trained in “aggressive” practice environments. However, “conservative” and “aggressive” were defined by utilizing a Medicare database to calculate the “End-of-Life Visit Index”. Residents trained in a region where elderly patients received greater frequency of inpatient and outpatient care at the end-of-life were judged to have trained in an “aggressive” environment....

http://www.emlitofnote.com/2014/09/appropriate-resource-utilization-can-be.html