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Why We Need Private-Practice Primary Care Doctors

A recent post on Kevin MD by Joseph Biundo, a rheumatologist, challenged my assertion that primary care doctors can save money:

(In reference to my claim…) That may be true in theory, but I see patients in my rheumatology office every day who have been “worked up” by primary care physicians and come in with piles of lab tests and X-ray and MRI reports, but are diagnosed in my office by a simple history and physical exam.

Prior to that, an article in the New York Times along with a post by Kevin Pho noted the fact that more solo practitioners are leaving private practice and joining hospital systems. Why are they doing this? Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Most Primary Care Doctors Using Wrong Colon Cancer Screening Test

A recent article found that primary care doctors the United States are providing sub-standard care when it comes to colon cancer screening.

In the Journal of General Internal Medicine, researchers found that 25% of primary care doctors used in-office stool testing to screen for colon cancer. Specifically, doctors do a rectal exam and then swipe the rectal contents off their gloves onto a stool-testing card. A positive test result indicates the presence of blood, which can be invisible to the naked eye. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Solving The Primary Care Crisis: Are We Training Enough Doctors?

In a few years, every American will be required to have health insurance. As a result, the 32 million people currently uninsured will seek out a personal physician. This role typically is filled by a primary care doctor, like an internist or a family physician.

While passage of the healthcare reform bill affirmed the belief that having health insurance is a right rather than a privilege, the legislation falls short on building a healthcare system capable of absorbing the newly insured.

Universal healthcare coverage is not the same as providing universal access to medical care. Having an insurance card doesn’t guarantee that individuals can actually get care. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

The Relationship Between Hospitalists And Primary Care Doctors

The following post is by Jamie Newman, FACP, editorial advisor of ACP Hospitalist:

I read the April 6 Annals of Internal Medicine with great interest. In it, many readers responded to Howard Beckman’s previously published essay on the relationship between hospitalists and primary care physicians. Many physicians bemoan their loss of inpatient control of patients, and perceived lack of communication.

I think back to my own private/university hybrid practice. When my patients were admitted to the resident services, I never heard a word. There was absolutely no communication. I would say that most hospitalists do a much better job of communicating with the outpatient physician then any resident team. It’s a double standard. Read more »

*This blog post was originally published at ACP Internist*

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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