This JAMA Insights article reviews Americans with Disabilities Act (ADA) rules for patients, visitors, and other members of the public bringing service animals into health care settings. ja.ma/4a7DiNu

In this cohort study of data from the American Board of Surgery EPA Pilot Study, 72.5% of clinical competency committee entrustment decisions were made with moderate or high confidence. Kelsey Montgomery Brenessa Lindeman, MD, MEHP ja.ma/3US1EpW

A collaborative care intervention did not influence QOL, depressive & anxiety symptoms, or physical function of older adults w/ injury at 12 mos. It may improve the psychological health of patients w/ symptoms of anxiety or depression at time of admission. ja.ma/3JSppIg

A tracheostomy is a surgical opening into the trachea or windpipe. This Patient Page discusses what parents can expect and answers some common questions if they are considering a tracheostomy for their child. ja.ma/43Xr9Jv

This cross-sectional study examines burn incidence rates and accessibility of American Burn Association–verified or self-designated burn centers from 2013 to 2019. ja.ma/3UbBqhS Stanford Surgery Stanford Plastic Surgery Jeff Choi 최재영 Cliff Sheckter

A 23-year-old male patient sought evaluation at the vascular thyroid surgery clinic for a large neck tumor that appeared abruptly 10 days prior. What is your diagnosis? ja.ma/3JlIBhb

Cross-sectional study examines federal funding, registered clinical trials, and publications to quantify trends in firearm injury prevention research in the US from 1985 to 2022. ja.ma/3JfaQhS

Quality improvement study describes the lack of diversity in trial leadership, especially in arterial disease device trials, and recommends action steps. ja.ma/3PZC7Zo

Real-time MRI of direct convective delivery allows for precise targeting and optimal distribution of therapeutic viral vectors for gene therapy. This article discusses use of intraoperative MRI in convective gene therapy perfusion. ja.ma/3JiDfmQ

.PennSurgery @laparoscopes @simulacionuc Julian Varas UNC Biostatistics and Todd Schwartz offer a practical guide to #machinelearning and #AI in #SurgEd research. ja.ma/3UcjaFc

Emphasizing study design and optimizing research methodologies will maximize the impact of surgical simulation on training and the personal learning curve. ja.ma/3JfJYxW

Most viewed in the last 7 days from JAMA Surgery:

What are the outcomes of different types of prophylactic intraoperative incisional wound irrigation solutions for the prevention of surgical site infections in all types of surgery?

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This narrative review summarizes the current evidence on and recommendations for management of gallstone pancreatitis. ja.ma/3xTrMI4

The addition of serratus anterior plane blocks to standard rib-fracture care significantly increased the proportion of patients who experienced a meaningful reduction in their pain score while also reducing in-hospital opioid requirements. ja.ma/49WBQxf Chris Partyka

Most viewed in the last 7 days from JAMA Surgery:

Care of patients with diverticulitis is undergoing a paradigm shift. This narrative review summarizes the current evidence for left-sided uncomplicated and complicated diverticulitis.

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Post hoc secondary analysis of a RCT found laparoscopic total gastrectomy with laparoscopic spleen-preserving splenic hilar lymphadenectomy can improve the prognosis and reduce recurrence for advanced proximal gastric cancer w/o greater curvature invasion. ja.ma/3Qsl5mH

In this study, functional laryngectomy was associated with marked improvements in self-perception of voice and swallowing, functional oral intake, quality of life, and mood state among survivors of head and neck cancer. ja.ma/3VUuh76

This practical guide to statistics and methods introduces the selection and application of qualitative research in surgical education. ja.ma/3PZC4wG

This narrative review evaluates the use of large language models in surgery. ja.ma/3JiDdeI

Current & ongoing studies of discharge care transitions for a patient after surgery should consider pain control; wounds, ostomies, tubes, and drains; and impact of challenging social situations and interdisciplinary team coordination on discharge success. ja.ma/3JfJYhq