Selected Papers from the NEJM NextGen Special Features
The following are free links to NEJM articles through the Next Generation.

Perspective

Market-Based Failure — A Second Opinion on U.S. Health Care Costs

by R Kuttner, February 7 2008, Vol 358 (6), 549-51

Solutions to American healthcare problems will be one of the most important issues in the upcoming Presidential election. Understanding the reasons for America’s especially high healthcare costs is consequently a high priority for those interested in the medical field. Dr. Kuttner asserts that the failure of the U.S. system lies in its obsession with profit maximization. He advocates universal health care to increase cost-effectiveness and standard of care.

Original Article

Childhood Body Mass Index and the Risk of Coronary Heart Disease in Adulthood

by JL Baker, LW Olsen, and TIA Sørensen, NEJM, December 6 2007, Vol 357 (23), 2329-37

The worldwide epidemic of childhood obesity is progressing at an alarming rate, but the severity of the long-term effects of excess childhood weight on coronary heart disease is unknown.  In a study with a cohort of over 275,000 schoolchildren and over 5 million person-years of followup, the authors find a definitive link between obesity and coronary heart disease.

Special Report

Military–Civilian Collaboration in Trauma Care and the Senior Visiting Surgeon Program

by EE Moore et al, NEJM, December 27 2007, Vol 357 (26), 2723-27

Integrating civilian and military medical capabilities has been shown to be vital throughout the nation's history. The Joint Trauma Training Center was established in Houston in 1999 to train military trauma teams at a civilian hospital.  This article peers into the unique cases facing military medicine and describe a system of bringing military doctors up to date.

Perspective

The View from the Other Side — Patients, Doctors, and the Power of a Camera

by G Berland, NEJM, December 20 2007, Vol 357 (25), 2533-36

Not everything about a patient's life can be gathered from a brief consultation in a clinic.  Dr. Berland has devised a fascinating method of looking into the
personal lives and troubles of her disabled patients - encouraging them to carry a video camera with them.  Read about the unique insight that she gained through this novel, simple idea.


The New England Journal of Medicine The New England Journal of Medicine
The following interviews and articles are exclusive to the Next Generation.

Pathways in medicine

Pediatric Psychology

by Yelena Wu, Amy Sato, and Christina L. Duncan, PhD

Health psychology is dedicated to understanding the psychological influences that affect how people stay healthy, why they become sick, and how they respond when they do become sick. This Pathways article involves the application of health psychology to children and their medical problems with an emphasis on the intersection between the clinic and psychology.

» More "Pathways in Medicine" Articles

Free standing perspective

The Cost of Living - II / II

by Ibtehaj Naqvi

How do patients of low financial means attain medical treatment? In the second half of a two-part series, Ibtehaj Naqvi discusses the treatment of the indigent with a physician at an academic hospital and reveals the two physicians' opinions on the insurance industry.

» More "Free Standing Perspective" Articles

Free standing perspective

The Cost of Living - I / II

by Ibtehaj Naqvi

Working with the American healthcare system can be difficult, especially to patients without insurance or in financial need. In the first half of a two-part series, Ibtehaj Naqvi explains his mother's dire medical and financial situation. He then discusses the treatment of the indigent with physicians in private practice and academia.

» More "Free Standing Perspective" Articles


Advice to the Next Generation

» Other Questions and Answers


NEXT ISSUE: MAY 1

The Next Generation is now publishing at the beginning of every month! The next issue arrives May 1.


Join our List

To receive a monthly email notification and summary of the newest issue, click here