Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

The Business Of Medicine: Critical To Medical Education?

Most medical schools do a reasonably good job clinically preparing medical students to be future physicians.

But they can do better, especially in our fragmented health system where millions of Americans have to contend with costs as much as they have to with their medical conditions.

In her recent New York Times column, Pauline Chen cites a study showing that students exposed to more non-clinical topics, like medical economics, health policy, and the “business” of medicine, were more satisfied with their education. Read more »

*This blog post was originally published at KevinMD.com*

Medicaid Requires Pre-Approval For Vitamins

So know I hear that Medicaid preauthorization is required to administer vitamins in an outpatient setting.  One of the greatest things about hospitalist medicine is I can give just about any medication I think is clinically justified to my patients in the hospital.  I don’t have any doctor, Dr Nurse, or other third party insurance bureaucrat telling me I have to get preauthorization before my patient can receive care.  I have at my disposal a 24 hour all you can eat pharmacy.  Sometimes they don’t know what I’m ordering, and my Green Goddess doesn’t get filled.  But generally speaking, I get what I ask for.

That’s not the way it works in the frustrating outpatient world of clinical medicine. Read more »

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

Credit Where Credit Is Due: Maryland Medical License Approved In Record Time

licenseSince I finished my residency training, I’ve applied for medical licenses in several states. It has been interesting to see how long it takes different states to process the same credentials. I wanted to give a quick hat tip to Maryland, for being the fastest, lowest hassle state so far. They processed my application in under 4 weeks, accepting my FCVS packet as verification for my medical school, residency training, and USMLE scores. Although the website suggests that the process may take up to 120 days, mine was fewer than 30. Thank you, Maryland Board of Physicians! Job well done.

In my personal hall of shame, however, is the Medical Board of California. I have been waiting since June, 2008 for my license. Yes, it’s been 567+ days. Read more »

What Hospital Credentialing Looks Like

Bad news? At least 47 different signatures.

Good news? It arrived mostly prefilled. Over 100 pages.

*This blog post was originally published at GruntDoc*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

Read more »

Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

Read more »

“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

Read more »

Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

Read more »

See all book reviews »