May 21st, 2011 by DrWes in Opinion
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I wonder if we’re in danger of stifling fun in medicine.
Certainly there are still fun things to do in medicine (ablating a pesky accessory pathway safely, for instance). But as I watch the newly-minted medical school graduates emerge from their long, sheltered educational cocoon, I wonder what their attrition rate will be from medicine once they see our new more-robotic form of health care community.
There is a social camaraderie in medicine when you train. Maybe it’s the “misery loves company” syndrome. In medical school you stick together through thick and thin because few others understand what you’re going through. You strive for the day when, collectively, you earn the designation of “doctor of medicine.” There’s a strength in numbers.
But as our work flows become regimented, our geographic coverage areas more dispersed, and our hours more fragmented, I’ve seen the loss of the collegiality of the doctor’s lounge being replaced with the coldness of e-mail blasts. I’ve seen the loss of summer picnics with my colleagues’ families replaced with “Doctor Appreciation Day.” After work get-togethers that included our spouses and kids are have long since gone – most of us just want to get back home to re-group for the next day ahead. Read more »
*This blog post was originally published at Dr. Wes*
May 26th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion
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Much has been recently made about the bureaucratic obstacles that primary care doctors face. With good reason. The impetus was a recent New England Journal of Medicine paper from Richard J. Baron that I mentioned recently.
The New York Times’ Pauline Chen interviewed Dr. Baron, who shared some interesting insights on what needs to be done. He contrasts the inertia in primary care to drug manufacturing.
If you took the resources that went into drug development, for instance, “and put them into a program like this that achieves meaningful levels of behavior change, a lot more patients could be better off.” In other words, research into new primary care models isn’t taking off because the money isn’t there.
But Dr. Baron also notes that money isn’t everything, since “primary care practitioners have been saying that we either already do or would do certain things if you paid us more. It’s true that you can’t do things consistently, reliably and across scales without additional payment. But payment is not enough. People have to change what they are thinking about when they go to work.” Read more »
*This blog post was originally published at KevinMD.com*
May 12th, 2010 by DrWes in Better Health Network, Opinion
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With all the negative press, the pay cuts, and the uncertainty of healthcare reform, I am approached by people who secretly whisper in my ear, “Would you have your child go into medicine?”
On first blush I am tempted to answer, “Heck no!” given the administrative hassles, the changes in the public’s perception of our profession, the frontload of education, and the long hours involved. But those observations, while real, are superficial at best.
Drilling down with more careful analysis after a challenging weekend on call, I find it worthwhile to stop and ask myself what makes medicine special for those of us crazy enough to subject ourselves to this lifestyle. I decided to put together a list of things that were important to me and would welcome additions from others. Read more »
*This blog post was originally published at Dr. Wes*
March 1st, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips
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Research from Denmark shows that life expectancy is increasing steadily and there is a good possibility that by controlling life factors, most everyone can live to be 100. Of course, living in a high income, first world country is the first factor. The Danish experts report that since the 20th century, people in developed countries are living about three decades longer than in the past.
Check out the list (click on it for a better read) to see what factors you can control.
Tip: Don’t eat the nuts if you have an allergy. That would definitely lower your chances! And having a baby “later in life” does not mean with IVF or infertility drugs. And a “little” wine doesn’t mean a bottle a day.
*This blog post was originally published at EverythingHealth*
October 28th, 2009 by Happy Hospitalist in Better Health Network, Opinion
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What we need is health reform, not health insurance reform. If we do nothing about health care inflation, we are all doomed. Every last one of us. Taking care of sick people is expensive. The only way to get rid of health care inflation is to stop spending money. At some point we will either have to
- decrease illness
- decrease treatment and/or
- decrease the cost of treatment
There are no alternatives. As an American which action plan would you rather see take hold? Realize that every cost action has a reaction. You can decrease disease by prevention. You can decrease treatment by bundling. And you can decrease the cost of treatment by making it more efficient or simply paying less until access becomes an issue. I am certain that keeping the financial stability of America will require all three. But the only one you as a patient have control over is #1. As a country, we can prevent 80% of diabetes, heart disease, stroke and cancer by taking care of ourselves with lifestyle modification. Read more »
*This blog post was originally published at A Happy Hospitalist*
