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Empathy: Anderson Cooper’s Giggling Makes This Psychiatrist Embarrassed

If you haven’t seen Anderson Cooper catch a case of the giggles on live TV, you can still watch it on YouTube.  I missed the first showing, but saw Mr. Cooper replayed it on his own Ridiculist List.  But what’s this doing on Shrink Rap?

I watched the re-run, and I found myself laughing out loud.  Only, it wasn’t a good, happy, hearty laugh, it was an embarrassed and uncomfortable laugh, and I realized I’d taken on the feelings of the newsman.  If I were a psychiatrist (oops, I am, even in August), I might say that Anderson Cooper Read more »

*This blog post was originally published at Shrink Rap*

Physician Questions The Need For Demographic Data With The EMR

Race is a medically meaningless concept.

Spare me the few tired cliches about prostate cancer, diabetes, and sarcoidosis being more common in blacks than whites, or even the slightly increased risk of ACEI cough in patients of Asian descent. We screen Jews of Ashkenazi descent for Tay Sachs without any racial labeling. All that information is readily accessible under the Family History section of the medical history. It is no more than custom which dictates the standard introductory format including age, race, and gender. It turns out I’ve blogged about this before at some length (pretty good post, actually). What is new is the advent of electronic medical records.

Much hullabaloo has been made about federal stimulus funds allocated to doctors as payments for adopting EMRs; “up to $44,000!” Here’s the problem with that figure, though, including how it breaks down (source here): Read more »

*This blog post was originally published at Musings of a Dinosaur*

Data For 2010 Shows A Slight Increase In Compensation For Medical Specialties

Although nearly 70% of medical specialties saw increases in compensation in 2010, increases were marginal, reports the American Medical Group Association’s 2011 Medical Group Compensation and Financial Survey.

Primary care specialties saw about a 2.6% increase in 2010, while other medical specialties averaged an increase of 2.4% and surgical specialties averaged around 3.8%. Specialties with the largest increases in compensation were allergy (6.38%), emergency medicine (6.37%), and hospitalist-internal medicine (6.29%).

In comparison, in 2009, primary care and surgical specialties saw about a Read more »

*This blog post was originally published at ACP Hospitalist*

Fifteen Years Ago Vs. Today: How Much Debt Do Med Students Accumulate?

The total debt cost of medical school has become obnoxious.  When I started medical school 15 years ago this month, I took out approximately $2,000 a month in loans.  $1,000 a month for all living expenses, including food, rent, utilities and entertainment and $1,000 a month for tuition and related expenses.  I got out of medical school with just under $110,000 in loans for which I am currently paying back at a rate of $500 month for 30 years.

I learned the other day that a family medicine resident recently completed medical school with almost $250,000 in medical school loans. Family medicine?  $250,000?  Are you crazy?  If that resident can lock in a 30 year loan at 3.5%, they’re looking at monthly payments of $1,200 a month for the rest of their lives.  With current tax rates, this family resident will need to earn at least Read more »

*This blog post was originally published at The Happy Hospitalist*

Android, iPhone And iPad Being Tested For Medical Use On The Battlefield

I was always under the impression that medical documentation was reserved for the office and the hospital.  Not necessarily so — even in the battlefield, medics document medical care in real time.

Unfortunately, the tools they use to do this documentation consists of bulky Motorola hand held devices that are four years old.

Four years is an eternity in the tech world.  To put this in perspective, I was still rocking a Motorola RAZR back then.  So it shouldn’t come as a surprise that the Army is field testing the iPhone, iPad, and Android smartphones in the battlefield. Read more »

*This blog post was originally published at iMedicalApps*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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