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Articles 
Andrew D. Auerbach, Robert M. Wachter, Patricia Katz, Jonathan Showstack, Robert B. Baron, and Lee Goldman A voluntary hospitalist service at a community-based teaching hospital had shorter lengths of stay, hospital costs, and mortality than physicians in the control group. The mortality benefit extended beyond hospitalization. Future studies should investigate the ways in which hospitalists increase clinical efficiency and may improve quality of care.
David Meltzer, Willard G. Manning, Jeanette Morrison, Manish N. Shah, Lei Jin, Todd Guth, and Wendy Levinson Hospitalist care was associated with lower costs and short-term mortality in the second but not the first year of hospitalists' experience. Disease-specific physician experience may be an important determinant of the effectiveness of hospitalists.
Susan L. Greenspan, Ronald D. Emkey, Henry G. Bone, III, Stuart R. Weiss, Norman H. Bell, Robert W. Downs, Jr., Clark McKeever, Sam S. Miller, Michael Davidson, Michael A. Bolognese, Anthony L. Mulloy, Norman Heyden, Mei Wu, Amarjot Kaur, and Antonio Lombardi Bone loss accelerates after withdrawal of estrogen therapy but not after withdrawal of alendronate or combination therapy. When managing postmenopausal osteoporosis, clinicians should consider the effects of withdrawing therapy.
Brief Communications
Ruby Anne E. Deveras and Craig M. Kessler Safe, rapid, and effective administration of recombinant factor VIIa corrects very prolonged international normalized ratios and can avert or reverse bleeding associated with warfarin anticoagulation.
Academia and Clinic
Wendy A. Weiger, Michael Smith, Heather Boon, Mary Ann Richardson, Ted J. Kaptchuk, and David M. Eisenberg This article summarizes current evidence on the efficacy and safety of selected complementary and alternative medical therapies commonly used by patients with cancer. Therapies include dietary modification and supplementation, herbal products and other biological agents, acupuncture, massage, exercise, and psychological and mind–body therapies.
Reviews
Bernadette Biondi, Emiliano A. Palmieri, Gaetano Lombardi, and Serafino Fazio Because the heart responds to the minimal but persistent changes in circulating thyroid hormone levels, subclinical thyroid dysfunction is not simply a compensated biochemical change. Physicians should consider timely treatment of subclinical thyroid dysfunction to avoid adverse cardiovascular effects.
Clinical Guidelines
U.S. Preventive Services Task Force* The U.S. Preventive Services Task Force concludes that the evidence is insufficient to recommend for or against routine screening for prostate cancer using prostate-specific antigen testing or digital rectal examination.
Russell Harris and Kathleen N. Lohr This systematic review supports the U.S. Preventive Services Task Force's position on screening for prostate cancer.
Editorials
The Editors In this issue, two studies by Auerbach and Meltzer and colleagues corroborate past research on hospitalists and are the first to report that hospitalists' outcomes, including patient survival, improve as hosptiatlists gain experience. Given these results, is it time to recommend that hospitalists care for all hospitalized patients?
Letters Truth Survival
Ethics and the Medical Record
Samuel Shem The great themes of fiction are love and death. Death is always a theme in medicine. So too, I would argue, in its many spirits, is love. And one of those spirits is resistance.
Elias Abrutyn
Amy Weaver
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