Peter Orszag wants doctors to work weekends. The former director of the White House Office of Management and Budget wrote as much in this past weekend’s New York Times:
Doctors, like most people, don’t love to work weekends, and they probably don’t enjoy being evaluated against their peers. But their industry can no longer afford to protect them from the inevitable. Imagine a drugstore open only five days a week, or a television network that didn’t measure its ratings. Improving the quality of health care and reducing its cost will require that doctors make many changes — but working weekends and consenting to quality management are two clear ones.
And he’s right, to a point.
I’ve pointed to studies showing that mortality rises on the weekends, in part due to skeleton staffs that hospitals employ on Saturday and Sunday. And, since Mr. Orszag is an economist, the cost factor is noted. Tests that get pushed off until Monday cost the health system serious dollars. The problem I have is that Mr. Orszag, like most health reformers, offers doctors little incentive in return. Read more »
*This blog post was originally published at KevinMD.com*
The average medical school debt today, according to the Association of American Medical Colleges, is $156,456.
The United States is the only country in the world were future doctors have to bear such a financial burden of their education. That places significant strain on any relationship involving an American medical student.
Recently, there was an interesting piece in the New York Times discussing this very issue. The article profiled a female medical student who had amassed $250,000 of school debt:
Still, if she and [her boyfriend] Mr. Kogler are going to move in together and get engaged, she wants their financial arrangements to be clear and fair. But how do you define fair when you’re bringing a quarter of a million dollars in debt to a relationship?
Indeed. It’s an issue that’s rarely discussed, yet frequently encountered by medical students. With that degree of debt, there is little room for flexibility should one’s future plans change. You have to continue working to pay off the loan. Read more »
*This blog post was originally published at KevinMD.com*
Occasionally I like to post great visuals from Street Anatomy. Here is another set, this time depicting the bone fragility of osteoporosis. Apparently these were glass models that were shot as they hit the ground. Stunning:
The event, coinciding with ADD/ADHD Awareness Week, was a panel discussion about the impact ADHD has on our society. It was sponsored by Shire, in partnership with the Entertainment Industries Council (EIC) and the Lab School of Washington [Disclosure: I received a stipend for covering the event.]
Below are interviews Rob and I did with some of the panelists.
Kevin Pho interview with Michele Novotni, Ph.D., ADHD Expert and Former Attention Deficit Disorder Association (ADDA) President:
The Mayo Clinic has always been at the forefront of the social media and health care intersection, and is the first institution to have an official Center for Social Media.
When they recently announced the invited first 13 members of their Advisory Board for the Mayo Clinic Center for Health Care Social Media, the first thing I noticed that there were zero physicians, and few with clinical experience. What a slap in the face.
There’s little question that the qualifications of the selected members are beyond reproach, and all are respected luminaries in the health care social media field. But this is the Mayo Clinic, one of the leading health care institutions in the country, so it’s odd that clinician-bloggers were blatantly ignored. Read more »
*This blog post was originally published at KevinMD.com*
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…
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…
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…
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…
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…
