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Disrespect For Primary Care Begins In Medical School

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In medical schools, primary care continues to be among the least respected fields a student can choose.

No where is that more starkly illustrated than in Pauline Chen’s recent New York Times piece, where she tells a story of a bright medical student who had the audacity to choose primary care as a career:

Kerry wanted to become a primary care physician.

Some of my classmates were incredulous. In their minds, primary care was a backup, something to do if one failed to get into subspecialty training. “Kerry is too smart for primary care,” a friend said to me one evening. “She’ll spend her days seeing the same boring chronic problems, doing all that boring paperwork and just coordinating care with other doctors when she could be out there herself actually doing something.” Read more »

*This blog post was originally published at KevinMD.com*

Voice Transcription Adventures With A Southern Accent

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The patient has fluferculosis, buperculosis, conbumption, arg!

The patient has fluferculosis, buperculosis, conbumption, arg!

I’ve dictated charts since I started private practice 16 years ago.  Although I like to think that I’m pretty good with the English language, it turns out that when I speak it, I mumble, slur and frequently dictate things that make no sense to the transcriptionist.

A standard chart for me might look like this:

‘This 44-year-old_____ complains of several days of ______ severe in the_______right______explosive and sudden in quanset.  (Unable to understand physician)….and stated that she(he) {please clarify} would not be short of ______ usually has no pain in _____ when she (he) falls onto the crown?’

Now, this is difficult enough, as you might expect.  And  often worse when I’m finishing a night shift, and the chart says ‘the patient is awake, alert and sleeping quietly at discharge,zzzzz.’

But voice transcription takes it to a new level.   Read more »

*This blog post was originally published at edwinleap.com*

How To Reduce Teen Drug Use: Dinner With Parents

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I know I have said this before, but now there is more research to back it up. A recent report on the results from the “back-to-school” survey (September 2009) done by the National Center on Addiction and Substance Abuse at Columbia University reports a decade of research finding that the more often children have dinner with their parents, the less likely they are to smoke, drink, or use drugs.

Bottom line – compared to teens who have family dinners 5+ times a week, those who do not are twice as likely to use tobacco and marijuana and 1.5 times likelier to use alcohol. They also get significantly better grades and report that it is easier to talk to their parents. Read more »

This post, How To Reduce Teen Drug Use: Dinner With Parents, was originally published on Healthine.com by Nancy Brown, Ph.D..

Dr. Wes’ Healthcare Reform Photo Contest

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DrRich urges his readers to consider entering Dr. Wes’ Healthcare Reform Photo Contest.

Dr. Wes, like DrRich himself, is an electrophysiologist, and is therefore a person of exquisite artistic taste. Even better, he’s married to Diane, who probably actually knows what she’s doing.

Your submission (which Dr. Wes fully expects you to torture and disfigure mercilessly with Photoshop, not unlike the actual healthcare reform bills) can espouse a point of view either for or against healthcare reform. The winner (after Wes and Diane cull out all the completely inappropriate and disgusting submissions, and choose the five or six finalists), will be determined by a reader poll. So while it may defy the odds, it is not outside the realm of possibility that a pro-reform photo can win – especially since the pro-reform photos are less likely to be excluded for offensive subject matter.

Best of all, the winner gets an iPod touch, with which you can listen to DrRich’s podcasts.

The rules, deadlines, etc. can be found at Dr. Wes’ blog.

*This blog post was originally published at The Covert Rationing Blog*

The New NHS Sexual Health Hub

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No matter how early I wake up, it’s always five hours later in the UK and I’m overwhelmed by the thought that I’m already behind (I won’t even get into the feeling I have when I think of our Australian readers).

So when I start the day reading my Twitter stream, it’s usually populated by midday news from England. I follow the NHS – National Health Service – “one of the largest publicly funded health services in the world,” and their superb health information site, NHS Choices.

This morning I saw this tweet about the launch of their new sexual health site:

@NHSChoices Our new sexual health hub includes advice on contraception, good sex guides, sex & young people, STIs and much more http://bit.ly/3wtJwL Read more »

*This blog post was originally published at Terra Sigillata - PostRank (PostRank: All)*

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

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