Fred Ralston Jr., MD
Fred Ralston Jr. is a physician.
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Latest articles
Health policy
A guest column by the American College of Physicians, exclusive to KevinMD.com. In early June I participated in ACP Services 2012 Leadership Day on Capitol Hill in Washington, D.C. I sincerely believe that we have an obligation to share our…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
In early June I participated in ACP Services 2012 Leadership Day on Capitol Hill in Washington, D.C. I sincerely believe that we have an obligation to share our experiences with elected representatives. Internists through ACP have been doing this for years and have raised awareness of the high fiscal and personal costs of our uninsured. We have stressed …
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ACP: A Senate intern turned internist seeks solutions to better patient care
Health policy
A guest column by the American College of Physicians, exclusive to KevinMD.com. I will never forget asking my teenage son what appeared to be a simple question. His answer, after a long pause, was “It’s complicated.” If you ask many…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
I will never forget asking my teenage son what appeared to be a simple question. His answer, after a long pause, was “It’s complicated.” If you ask many of us about health care in the U.S., there is often an answer that points quickly to a particular villain or a simple fix that would change everything. Unfortunately things …
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ACP: Reducing expenses at the ground level of health care
Health policy
A guest column by the American College of Physicians, exclusive to KevinMD.com. In preparation for a panel discussion at Internal Medicine 2012, the annual scientific meeting of the American College of Physicians, I was asked some questions about changes I…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
In preparation for a panel discussion at Internal Medicine 2012, the annual scientific meeting of the American College of Physicians, I was asked some questions about changes I would make in health care if I were king. That stimulated some serious thinking. For those of us in practice it is more usual to think about what new regulation …
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ACP: If I were health care king
Physician voices
A guest column by the American College of Physicians, exclusive to KevinMD.com. Is medical ethics an important aspect of real world medical practice today? Or a quaint notion for the history books based on mom and apple pie generalisms? For…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
Is medical ethics an important aspect of real world medical practice today? Or a quaint notion for the history books based on mom and apple pie generalisms?
For the patient and for the physician in practice, medical ethics is — or should be — a daily aspect of care. But that doesn’t make it easy. In fact, it is …
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ACP: Medical ethics should be a daily aspect of care
Physician voices
A guest column by the American College of Physicians, exclusive to KevinMD.com. Many patients see multiple doctors and receive care in a variety of settings. Some patients receive care in more than one hospital. As an internist who is in…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
Many patients see multiple doctors and receive care in a variety of settings. Some patients receive care in more than one hospital. As an internist who is in the process of transforming into a patient-centered medical home, I have been taking steps to help my patients when they see other physicians.
All physicians can recount instances when they saw …
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ACP: Making transitions better for patients
Health policy
A guest column by the American College of Physicians, exclusive to KevinMD.com. In 1998 I started a period of national service to the American College of Physicians leading to my term as President for 2010-2011. During that time I kept…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
In 1998 I started a period of national service to the American College of Physicians leading to my term as President for 2010-2011. During that time I kept an almost full time private practice in Fayetteville, Tennessee. Moving between the worlds of health policy and “the trenches,” I understand better than many the tremendous challenges we face in …
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ACP: What’s a small group practice to do?
Physician voices
A guest column by the American College of Physicians, exclusive to KevinMD.com. Up until 2001 I practiced medicine in the hospital where I was born. I still work in the hospital that was built to replace it. In our mobile…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
Up until 2001 I practiced medicine in the hospital where I was born. I still work in the hospital that was built to replace it. In our mobile society that is clearly the exception rather than the rule.
I love what I am able to offer my patients as a general internist in a community where my family has …
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ACP: Relationships enhance patient care
Health policy
A guest column by the American College of Physicians, exclusive to KevinMD.com. In April 2011 I finished seven years on the Board of Regents of the American College of Physicians (ACP) including two years as Chair of the ACP Health…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
In April 2011 I finished seven years on the Board of Regents of the American College of Physicians (ACP) including two years as Chair of the ACP Health and Public Policy Committee and serving during the last year as President. During that time I had the opportunity to be involved in some great discussions on health care within …
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ACP: Current and future payment and practice trends in medicine
Conditions and diseases
A guest column by the American College of Physicians, exclusive to KevinMD.com. It is easy to continue practice patterns we establish over the years. In my daily life as a general internist I am more likely to look for more…
A guest column by the American College of Physicians, exclusive to KevinMD.com.
It is easy to continue practice patterns we establish over the years. In my daily life as a general internist I am more likely to look for more information on a condition I don’t see regularly than on one that I see all the time. While we want to provide the best care for every condition we treat …
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ACP: New COPD guideline addresses an important health issue
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