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A Clinic For Diarrhea And International “Travelers?”

Diarrhea ClinicI’m not sure what country this photo was snapped in, but the clinic owners were smart enough to help international travelers seek care for traveler’s diarrhea. There’s no beating around the bush on this one. If you’re in this waiting room staring at strangers, they’re all going to know why you’re there.

Diarrhea Clinic — that’s simple brilliance. That doctor needs to be hired by the ACP and SHM and ABIM to help us answer questions like “What is an internist?” and “What is a hospitalist?” For these doctors, everyone knows exactly what he does — no questions necessary.

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

Will Physician Education Be Valued In The Future?

The future of American healthcare will not value physician education. Perhaps it’s time to abandon the medical school model and train millions of nurses instead at a fraction of the cost. This comment was left on my blog over at NP=MD:

I don’t even compare NPs and MDs. Their models differ. One is not better than the other. The schooling — minus the residency — is nearly equivalent in terms of time spent. The problem is that NPs don’t get a long enough residency. If you take a NP and a MD, both with 20 years clinical experience, the MD does not know more than the NP. Sure, he had a few extra classes 20 years ago — which he doesn’t remember — but that’s about it.

NPs aren’t trying to steal MDs’ meal tickets, they’re attempting to better serve patients. Read more »

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

Putting The “Cool” Back Into Buckling Up

I was having fun watching my niece play with dozens of pool inner tubes when another relative shows up. Never one to surprise me, he shows me a fashion statement I’d never seen before. How do you get your kids to wear their seatbelts? 

The key here is repetition. Just like a medical school education, repetition is what makes us experts. Doing the same thing over and over again makes us great at what we do. To get your kids to wear their seatbelt every time, you must make it a part of their daily existence. How do you do that? You buy them a “seatbelt” belts from Honda. Read more »

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

Who Is This “Eye Doctor” Anyway?

Eye Doctor SignI snapped this picture of “The Eye Doctor Is In!” sign at my local Sam’s Club. Who is this “eye doctor?” Are they a Dr. Nurse? Are they an optometrist? Are they a medical doctor? What is the difference between an optometrist and an ophthalmologist? The sign just says “eye doctor.” Who is it? Who knows. What are their credentials? Who knows.

To practice optometry, an optometrist must graduate from an accredited four-year post graduate institution after completing at least three years of undergraduate preoptometry course requirements and then get licensed in their state of practice.

To practice ophthalmology, an ophthalmologist must graduate from an accredited four-year medical school after completing the 90+ undergraduate premedical couurse requirements, then complete a residency in ophthalmology which consists of an internship year in internal medicine or general surgery and three years or more of additional training in ophthalmology. Then they must get licensed by state authorities.

The lay public — the really lay public — has no idea what the state and federal licensing standards are for the different professional clinical training tracks. Read more »

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

“Reformed” Symbol Of Healthcare

News-Symbol-of-Health-Care-Reform

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

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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