I have been an outspoken, and often times exasperated, patient advocate and student of healthcare reform. There is no doubt that the U.S. healthcare system is operating far below its potential in terms of efficiency, effectiveness, and affordability. In fact, an entire industry of policy wonks and consultants have sprung up in both the public and private sectors – all with recommendations about how to “fix” our system. In my opinion, the most insightful suggestions will come from those who are currently doing the work of healthcare (i.e. clinicians) and change will be adopted and promoted most fervently by the young and freshly minted among them.
Medical students, residents, and physicians newly in practice now have a place to voice their opinions – The American Resident Project is an ambitious movement to promote fresh thinking from tomorrow’s physician-leaders. I am pleased to be supporting this effort here on my blog and in face-to-face meetings with fellows at medical centers across the country. I hope you’ll bookmark the website and join in the community conversation about how to innovate in the midst of a broken system. This is more than a think-tank for change – the ideas and opinions of young doctors may be our best hope for a brighter tomorrow.
Stay tuned for some fresh ideas in the setting of some healthy talk therapy!
In another one of the things I had no idea about, there’s a market to assist FMGs [foreign medical graduates] in getting U.S. residencies, which makes sense. Allegedly, this guy was willing to go the extra mile for his clients.
Full marks for creativity, but…
Mr. Everest allegedly provided an employee at the hospital with forged letters from a California hospital to show that the applicants had been accepted into a second-year program. And he gave her a check for $4,000, followed by another check for $2,000. She reported him to hospital officials, and later told him she knew the letters were forged. He then allegedly gave her $6,000 for time to get a letter from a different hospital—which was also forged—and gave her $3,000 more before he was arrested.
– Via Hospital Bribe Alleged – WSJ.com
*This blog post was originally published at GruntDoc*
As a physician, I’ve had several people ask my “honest” opinion of their plans to become a doctor. I know what my response is to this question, but I wonder what others in my profession would answer. Would your response depend, in large part, on who’s doing the asking — could you answer your own child as you would someone you just met? Be careful, your answer to this question, if honestly given, might shine an unsettling light on your own feelings about your current career choice.
Last week I spoke with a college junior working to fulfill her lifelong plans to become a physician. She told me about a recent conversation with her own doctor where she shared her plans to go to medical school and he’d tried to dissuade her. She couldn’t recall a single cogent reason given for avoiding the medical profession, yet it appeared to me that his odium had negatively imprinted her image of the medical profession, which is a shame. At this time more than ever, we –- doctors and patients alike — need to encourage the most talented of our youth to join the medical profession. Read more »
From Dr. Toni Brayer at Everything Health:
We medical folks have always known that July is the worst time for a patient to be admitted to the hospital. It has nothing to do with nice summer weather or staff vacations. Although it cannot be proven, we think the answer to the mystery of July hospital errors is human — yes, it’s the new interns.
A new study published in the June issue of the Journal of General Internal Medicine looked at all U.S. death certificates from 1979 to 2006. They found that in teaching hospitals, on average deadly medication mistakes surged by 10 percent each July. The good news is they did not find a surge in other medical errors, including surgery or in non-teaching hospitals. Read more »
*This blog post was originally published at ACP Internist*
I’ve written previously that the days of the private practice physician are numbered. A detailed piece from the New York Times confirms the exodus.
Young doctors who are burdened with medical school debt exceeding $150,000 are opting for the financial stability that a salary from a hospital-owned practice, or a large integrative medical center, can bring. Gone are the days where a solo practitioner can hang a shingle and practice in a small office, or in days past, a room adjoining their home.
Read more here: Private practice medicine will soon become extinct.
*This blog post was originally published at KevinMD.com*