Letter by Blakey et al Regarding Article, “Mortality Among High-Risk Patients With Acute Myocardial Infarction Admitted to US Teaching-Intensive Hospitals in July: A Retrospective Observational Study”
To the Editor:
We read with interest the article by Jena and colleagues1 investigating the mortality of patients with acute myocardial infarction around the yearly junior doctor changeover. This carefully undertaken study shows the strength of such epidemiological analyses in robustly assessing effect size using large samples. It also highlights the major deficiency of these studies as it provides little insight into why the increase in mortality occurred and what educators, supervisors, or institutions might do to mitigate this risk.
Given that there is clear …