Pelzman's Picks: End-of-Life Care Talks Still Tough

• Doctors continue to find end-of-life discussions tough, Barbara Feder Ostrov writes in Kaiser Health News ~ Most Doctors Unsure How To Discuss End-of-Life Care, Survey Says
• Physicians who feel burned out also tend to put in less effort on the job, Tait D. Shanafelt, MD, and colleagues report in The Mayo Clinic Proceedings ~ Longitudinal Study Evaluating the Association Between Physician Burnout and Changes in Professional Work Effort
• MACRA "is extremely difficult to comprehend, it is based on assumptions that defy commonsense and research, and it may raise costs," Kip Sullivan writes in The Health Care Blog ~ The Mess That is MACRA
• Violence against healthcare professionals occurs more often than we might think, James P. Phillips, MD, writes in New England Journal of Medicine ~ Workplace Violence against Health Care Workers in the United States
• "If not screening, what explains the decrease in colorectal-cancer mortality?," ask H. Gilbert Welch, MD, MPH, and Douglas J. Robertson, MD, MPH, in NEJM ~ Colorectal Cancer on the Decline -- Why Screening Can't Explain It All
• A study of "The Biggest Loser" contestants highlights why people have so much trouble keeping off the weight they lose, Gina Kolata writes in The New York Times ~ After 'The Biggest Loser,' Their Bodies Fought to Regain Weight
• The use of digital multimedia may enhance an individual's understanding of research information when providing informed consent, Alan R. Tait, PhD, and colleagues write in JAMA ~ Digital Multimedia: A New Approach for Informed Consent?
• "From the campaign trail to the halls of Congress, drug makers have spent much of the last year enduring withering criticism over the rising cost of drugs," Katie Thomas writes in The New York Times ~ Drug Prices Keep Rising Despite Intense Criticism

Fred N. Pelzman, MD, of Weill Cornell Internal Medicine Associates and weekly blogger for MedPage Today, follows what's going on in the world of primary care medicine. Pelzman's Picks is a compilation of links to blogs, articles, tweets, journal studies, opinion pieces, and news briefs related to primary care that caught his eye.

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Pelzman's Picks: End-of-Life Care Talks Still Tough