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Budget Cuts And Their Potential Complications For Family Medicine

Every day in the news, you hear about the United States federal budget and the potential political complications if something is done or if nothing is done. And every day in the news you hear about possible cuts in Medicare. What you don’t know is that some cuts in Medicare can significantly impact the training of future Family Physicians. What do I mean by this? Well, did you know that residency programs are paid Medicare funds (called Graduate Medical Education funds) going to hospitals? Check out this great article about how residency programs are funded.

So, let’s play this out with its potential complications for Family Medicine. If GME funds are cut as they are proposed, then many hospitals with only one residency program (usually a Family Medicine program), may be forced to close the program – thereby decreasing the number of Family Physicians being trained. In those hospitals with multispecialty programs (like large university hospitals), cuts in GME funding would force hospitals to cut their Family Medicine residency slots in favor of more specialty residency slots, which are more lucrative for hospitals. Again, this would decrease the number of Family Physicians being trained.

With GME funding being cut, there are two other disturbing possibilities that may happen. First, Read more »

*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*

How Your Diet Might Interfere With Prescription Medications


When people talk about prescription medications, everyone is familiar with the concept of side effects from medication. But, did you know that there are things in your diet that may interfere with your prescription medication?

In addition, your prescription medication may interfere with over the counter medications. In this video, there are two interviews recorded on Wednesday, June 8, 2011 on local TV news. If you find the information above helpful, I invite you to check out other TV interviews on medical/health issues at MikeSevilla.TV

*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*

Are There Too Many Health Chats On Twitter?

Is it me or has the number of medically related twitter chats just exploded in the past 4-6 weeks or so? In the past few weeks, there has been a lot of discussion about the proper and improper use of the twitter hash tag. I mean if more than 50% of the tweet are hash tags, then I gotta problem with it.

Twitter by it’s very nature is whiny. I mean, one of twitter’s first functions back in the day (in my opinion) and one of the first uses of twitter for the newer user is a place to vent. And, people complain, whine, vent about a great variety of stuff. But, not about the number of tweet chats that have been popping up recently?

Maybe I’m crazy, but will twitter ever get to the point when there are too many chats? Probably not. However, something that I have seen in the past few weeks is the selection of what I call the “golden” time of 9pm Eastern Time.

There is probably some solid data out there somewhere, but Read more »

*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*

Why Family Medicine Needs Social Media

I wasn’t able to attend the Annual Leadership Forum (ALF) and the National Conference of Special Constituencies (NCSC) meetings in person this year. This is an annual meeting in Kansas City put on by the American Academy of Family Physicians (AAFP). I know that it can be hard to believe that someone actually likes going to a meeting. However, for me, these meetings always re-energize me and connect me with people with a passion for Family Medicine.

In 2010, there were only a few of us utilizing social media tools like twitter and facebook (including my blog posts from Thursday & Friday). However, just a year later, there seems to have been an explosion of people utilizing these platforms to a point yesterday when I saw a bunch of people signing up for the first time during the meeting. Even members of the AAFP Board of Directors were creating twitter accounts yesterday. Wow!

I really believe that this year, 2011, is when the Family Medicine community will more fully embrace social media, not only as a means of socialization, but also as a means of advocacy for our specialty. Here are some other reasons why I believe that Family Medicine needs social media: Read more »

*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*

Medical Blogging Then And Now

Shout out to @DanaMLewis for pointing out this post from Mashable entitled, “Why Curation Is Just As Important As Creation.” When people are starting out in social media creation, whether it be blogging, or podcasting, or whatever – the phrase always comes up – “Content Is King.” But is content really king anymore?

Now, I certainly wasn’t the first physician blogger, but I would probably consider myself “in those early days.” I mean, starting in 2006 was a few years ago. Back then, writing every single day was imperative. And, the way that you were judged were the amount of comments that you received. I mean, this was in the days before facebook and twitter, when the comment section of the blog was the only way to give feedback publically.

Back then, the way to make a name for yourself was to have the home base of the blog, and that’s how people knew you. Now, with so much content out there, people are overwhelmed and just cannot read everything that they want to read. I definitely can relate to this.

Now, many people are becoming “internet famous” by just sharing through their twitter or facebook stream – the items which they think are important. Maybe, sometimes, not even creating a bit of content on their own. Does this make them a second class citizen in the social media world – not anymore.

I agree with the assertion that being the “information maven”  – meaning evaluating social media information – meaning being a curator – instead of a social media creator – this will be very important in the days ahead. Am I wrong, let me know in the comments below – or on twitter, or on facebook, or other social media way…

*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*

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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