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"Medical systems are made of holes and stacked like slices of Swiss cheese"

7.2% Decrease in Work Hours of U.S. Physicians Between 1996 and 2008

Hospitalist evolution? "Extensivist" = hospitalist who prevents readmissions by seeing patients after discharge

Physician Burnout - Mayo Clinic video

SHAKE may be common in hospitals: Supplement-associated Hyperammonemia After Cachectic Episode