How much time do doctors spend on paperwork?

Physician
May 29, 2009

A common complaint is that doctors these days are spending more time doing clerical tasks.

Examples include filling out pre-authorization forms, talking to health plans for pre-certifications on imaging studies, and spending time jumping through bureaucratic hoops. Generally, you do not need a medical degree to do these tasks.

Bob Doherty points to a study that gives some numbers to back up the claims. Primary care doctors spend about 3.5 …

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How much time do doctors spend on paperwork?

AMA: Curbing the rise in health care costs is key to health-system reform

Health Policy
May 14, 2009

The following is the first in a series of original guest columns by the American Medical Association.

by J. James Rohack, M.D.

In an unprecedented endeavor aimed at achieving health-care reform this year, the American Medical Association (AMA) stood with President Obama and other key health-care stakeholders Monday to announce efforts to “bend the spending curve” on health care. U.S. health-care …

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AMA: Curbing the rise in health care costs is key to health-system reform

Does violence on TV and in the media really lead to violent behavior?

Social Media in Medicine
May 10, 2009

We’ve become accustomed the notion that media violence is bad for children, and that exposure to it can lead to all kinds of problems, including violent behavior. Those us who remember Columbine in 1999 will certainly recall reports that the killers played the videogame Doom and listened to Marilynn Manson before they went on their tragic rampage. Less dramatic anecdotes pop up regularly.

But there’s a new, detailed analysis of media …

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Does violence on TV and in the media really lead to violent behavior?

6 top medical comments, May 10th, 2009

Physician
May 10, 2009

Here are some of the more interesting comments readers have left recently.

1. Anonymous on whether emergency physicians best served to staff urgent care centers:
As an ED doc, I understand the problem. We are taught to always rule out the emergencies, and I am constantly worrying about the worst case scenario, and likely will order more tests since they are at my disposal, which is …

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6 top medical comments, May 10th, 2009

Can you really kill a man by gluing his anus shut?

Potpourri
May 9, 2009

A recently reported method of torturing gay men in Iraq sounds horrifying.

Andrew Sullivan points to an article that spares no graphic details: “. . . anti-gay Shiite death squads are sealing their anuses with a powerful glue, then inducing diarrhea, which leads to a painful and agonizing death.”

But, can someone really die from this novel form of torture?

Emergency physician Shadowfax has his doubts. …

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Can you really kill a man by gluing his anus shut?

Abraham Verghese on the KevinMD Live Q&A: Monday, May 4th at 10:30pm Eastern

Patient
May 4, 2009

Abraham Verghese will be answering your questions at my next live Q&A.

Dr. Verghese, a Professor for the Theory and Practice of Medicine at the Stanford University School of Medicine, is one of the most accomplished and admired physician educators today. His pieces have appeared in The New York Times and The Wall Street Journal, and one of his recent articles, entitled Culture Shock, …

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Abraham Verghese on the KevinMD Live Q&A: Monday, May 4th at 10:30pm Eastern

6 top medical comments, May 3rd, 2009

Medications
May 3, 2009

Here are some of the more interesting comments readers have left recently.

1. Carla Kakutani on the lack of primary care access in Massachusetts:
So we have a chicken and egg problem. Do we wait health care reform until we have revived US primary care, or is that even possible without health care reform to create the disruption needed to change our entrenched fee-for-service, procedure-happy payment …

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6 top medical comments, May 3rd, 2009

Anti-vaccine ads, and how false advertising harms children

Social Media in Medicine
April 29, 2009

Where is the line between true and false advertising? And should we be more careful when the claims an ad makes has potential health consequences for children and communities?

Let’s ask newspapers that question about big adverts they’ve printed from Generation Rescue, an autism advocacy group, the one headed up by Jenny McCarthy, who regularly appears on National TV claiming vaccines cause autism.

The ads, which you can see on the Generation …

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Anti-vaccine ads, and how false advertising harms children

Reader take: Patients should be allowed to access their entire medical record

Health Technology
April 28, 2009

The following is a reader take, in response to a post on whether patients should own their medical records, by an anonymous nurse.

Dear Dr. Pho,

I wish to respond to your position on patient access to their medical records both as a patient and a nurse.

If a doctor or other health professional believes their documentation would be inappropriate or too sensitive for …

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Reader take: Patients should be allowed to access their entire medical record

How the primary care doctor shortage threatens Obama’s health reform plan

Physician
April 27, 2009

Top story in The New York Times.

Excellent.

There’s hope that maybe, just maybe, we’re getting through to the decision makers in Washington.

The article itself is old news to regular readers of this blog, and regurgitates many of the arguments impeding health reform, as well as the problems in solving them.

“Obama administration officials, alarmed at doctor shortages, are looking for ways to increase …

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How the primary care doctor shortage threatens Obama’s health reform plan

6 top medical comments, April 26th 2009

Social Media in Medicine
April 26, 2009

Here are some of the more interesting comments readers have left recently.

1. Mediaslackers on the UK’s proposed 48-hour physician workweek:
I agree there are significant dangers inherent with limiting the number of hours a doctor can work in a week, but I don’t think they are totally insurmountable or all that much greater than when a doctor is working 30 hours straight, getting a divorce …

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6 top medical comments, April 26th 2009

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HealthHarbor: Health IT stimulus leads to more questions than answers

Health Technology
April 25, 2009

The following is a reader take from the staff at HealthHarbor.

We had a chance to attend the HIMSS conference two weeks ago. HIMSS is healthcare’s premier annual tech expo, and was in Chicago this year. The undeniable theme of this year’s conference was the anticipated expansion of Health Information Technology (HIT) via the Economic Recovery Act. …

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HealthHarbor: Health IT stimulus leads to more questions than answers

Op-ed: Not all screening tests lead to early, better treatment

Conditions and Diseases
April 23, 2009

The following op-ed was published on April 23rd, 2009 in the USA Today.

As a primary care doctor, it’s heartening to hear President Obama call for “the largest investment ever in preventive care.” That means more people, for one, will be undergoing tests to screen for various forms of cancer. But this might be one of those cases where what sounds like common sense is actually more …

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Op-ed: Not all screening tests lead to early, better treatment

6 top medical comments, April 19th 2009

Uncategorized
April 19, 2009

Here are some of the more interesting comments readers have left recently.

1. Manalive on quality measures:
It is almost always a leap of faith to apply evidence-based guidelines to the frail elderly, to patients with many medical problems, to alcoholics, to the poorly insured — in short, to a large percentage of my practice. Accordingly, I have been on the wrong end of too many …

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6 top medical comments, April 19th 2009

5 top medical comments, April 12th 2009

Uncategorized
April 12, 2009

Here are some of the more interesting comments readers have left recently.

1. Dr. Gwenn on limited health literacy:
For us to do a better job with patients and teach them to be better advocates for themselves, we need more time – plain and simple. At the same time, patients need more community supports to understand the complex health world and build the skills they need …

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5 top medical comments, April 12th 2009

Edwin Leap: Who pays when politicians commit malpractice?

Physician
April 2, 2009

My kids love to play Monopoly. They delight in acquiring properties, making money and crushing their siblings. They play with passion and savagery. That is, until recently. A couple of weeks ago I walked past the Monopoly board, spread on the floor between my children and their dear friend Tyler.

“˜How’s it going guys?’

“˜Great game, but we all ran out of money. So, we just put some more money on the …

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Edwin Leap: Who pays when politicians commit malpractice?

Most hospitalists are good, but some, like these ones, aren’t

Physician
April 1, 2009

It’s a well known phenomenon that hospitalists are taking over inpatient medicine.

And no wonder, the payment system strongly discourages newly minted doctors to practice outpatient medicine, and the demand that hospitals have for inpatient physicians is surging at an unprecedented rate.

It’s a good time to be a hospitalist, but, as this reader writes to me, that may lead to an increasingly variability in the quality …

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Most hospitalists are good, but some, like these ones, aren’t

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