February 23rd, 2011 by John Mandrola, M.D. in Better Health Network, Opinion
Tags: Andy Kessler, Computer Imaging, Computer-Aided Diagnosis, Doctoring and Technology, Doctors Replaced By Technology, Doctors' Jobs, Dr. John Mandrola, General Medicine, Healthcare Blogs, Healthcare in America, Judging Doctors, Man Vs. Machine, Medical Blogs, Medical Careers, Medical Certification, Medical Licensure, New Doctors, New Medical Technology, Physician Supply and Demand, Service Economy, Service Sector, Technology-Endangered Jobs, The Practice of Medicine, Wall Street Journal
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I am a doctor. Go ahead, call me what you may. Group me into a neatly, prejudged category: “All you doctors.” Just don’t label me a sponge.
That’s right. Recently in the Wall Street Journal, Mr. Andy Kessler, famous author and former hedge fund manager smart enough to turn $100 million into $1 billion, grouped doctors into a sub-category of the service economy which he labeled as “sponges.” We could have done worse: His other categories included “sloppers” (DMV workers), “slimers” (financial planners), and “thieves” (cable companies).
It seems that doctors — along with cosmetologists, lawyers, and real estate brokers — offend him because of the tests and licenses that we deem necessary:
Sponges are those who earned their jobs by passing a test meant to limit supply. According to this newspaper, 23% of U.S. workers now need a state license. The Series 7 exam is required for stock brokers. Cosmetologists, real estate brokers, doctors and lawyers all need government certification. All this does is legally bar others from doing the same job, so existing workers can charge more and sponge off the rest of us.
His essay goes on to argue the tired notion that technology endangers jobs in the service sector — the toll booth operator argument, again. He likes the creators of stuff: Apple and Google. (Duh.) But in my mind, doctoring is about creating something: We create better and longer lives for our patients. Ask the patient cured of cancer how happy they are that some doctor created his or her treatment plan. Read more »
*This blog post was originally published at Dr John M*
February 23rd, 2011 by RyanDuBosar in Better Health Network, Research
Tags: ACP Internist, Adverse Cardiac Events, Body Clock, Cardiology, Cardiovascular Disease, Cardiovascular Risk, Circadian Rhythm, Coronary Stent Thrombosis, Heart Health, JACC Cardiovascular Interventions, Mayo Clinic, Ryan DuBosar, Time Of Day, Time Of The Year
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Add coronary stent thrombosis to the list of cardiac events influenced by circadian rhythms, with more events occurring during the early morning hours and in a summertime window of late July and early August.
Coronary stent thrombosis joins several other adverse cardiac events that also follow a circadian pattern, such as stroke, unstable angina pectoris, acute myocardial infarction and sudden cardiac death, according to researcher published in JACC: Cardiovascular Interventions.
Most studies that addressed circadian variations in cardiovascular disease were done before the advent of stents, so, researcher from Mayo Clinic-Rochester conducted a retrospective analysis of medical records and the clinic’s registry, finding 124 patients who presented with coronary stent thrombosis between February 1995 and August 2009.
Researchers determined the time of day, day of week, and season of year that the stent thrombosis occurred and recorded when potential triggers were present. In addition, the team categorized each stent thrombosis based on the number of days since the initial stenting procedure: early=0 to 30, late=31 to 360 days, very late=more than 360 days.
The association between the onset of stent thrombosis was lowest at 8 p.m. and highest at 7 a.m. (P=0.006). However, when the team divided the analysis into early, late, and very late stent thrombosis, only the association between early stent thrombosis and time of day remained significant (P=0.030, P=0.537, P=0.096, respectively). Day of week wasn’t associated, but stent thrombosis rates peaked between the end of July and the beginning of August (P=0.036). Read more »
*This blog post was originally published at ACP Internist*
February 22nd, 2011 by Medgadget in Better Health Network, Research
Tags: Genetic Basis of Human Disease, Genetics, Human Biology, Human Genome, Human Genome Sequence, Human Genomics, Human Traits and Disease, Life Science Research, Medgadget, Medical Revolution, Medicine and Evolution, Nature Journal
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The human genome has been around for a bit more than ten years, but on February 15, 2001, the first complete human genome sequence was published. This was nothing short of a revolution within medicine. Since then, great advancements have been made in our understanding of genetics and its associations with human traits and diseases.
Nature is celebrating this tenth birthday with a special titled “Human Genome at Ten.” In it, multiple papers reflect on what we learned and discovered, what is still unknown, and what we can expect for the near future. Best of all, Nature has packaged the special in a free iPad app for everyone to read, which features interactive graphs, videos, and audio commentaries.
Nature special: The Human Genome at Ten…
iTunes link: Nature Human Genome Special Edition…
*This blog post was originally published at Medgadget*
February 21st, 2011 by RyanDuBosar in Better Health Network, Research
Tags: ACP Internist, American College Of Physicians, Doctor Shortage, Doctor Temps, Healthcare Human Resources, Healthcare Staffing, Lack of Medical Staff, Locum Tenens Physicians, Physician Hiring, Physician Recruitment, Physician Retirement, Physician Supply, Recruiting Doctors, Ryan DuBosar, Short-Term Physician Position, Staff Care, Temporary Physicians, Understaffed, Work-Life Balance
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The use of temporary physicians is rising, filling in until permanent physicians can be hired amid the ongoing shortage of doctors nationwide, a locum tenens firm has found. The company estimates between 30,000 and 40,000 physicians worked on a locum tenens basis in 2010.
The survey, by Staff Care, polled hospital and medical group managers about their use of locum tenens. Eighty-five percent said their facilities had used temporary physicians sometime in 2010, up from 72 percent in 2009.
Psychiatrists and other behavioral health specialists were the most sought-after specialty (22 percent of all requests), followed by primary care physicians, defined as family physicians, general internists and pediatricians (20 percent) and internal medicine subspecialists (12 percent). Hospitalists were 9 percent.
According to the survey, the primary reason cited by 63 percent of healthcare facilities was to fill a position until a permanent physician could be found. Forty-six percent of healthcare facilities now use locum tenens physicians to fill in for physicians who have left the area, compared to 22 percent in 2009. Fourteen percent use locum tenens doctors to either help meet rising patient demand for medical services or to fill in during peak times, such as flu season. Fifty-three percent use locum tenens physicians to fill in for physicians who are on vacation, ill or for other absences.
Most locum tenens physicians plan to stick with temporary practice in the short-term, the company noted. Sixty percent said they plan to practice on a locum tenens basis for more than three years, 28 percent for one to three years and 12 percent for less than a year.
Freedom trumps pay, the company noted, as 82 percent cited flexibility as a benefit, compared to 16 percent who identified pay as a benefit. Other reasons cited for working as a locum tenens include absence of medical politics (48 percent), travel (44 percent), professional development (21 percent) and searching for permanent practice (20 percent).
The locum tenens option is important to maintaining physician supply, the company concluded, because during a time of physician shortages it allows doctors who might be considering full retirement to remain active in medicine.
*This blog post was originally published at ACP Internist*
February 18th, 2011 by Berci in Better Health Network, Health Tips
Tags: Active Cold and Flu Reports, Berci, Dr. Bertalan Mesko, Google Flu Trends, Health 2.0, Infectious Disease, Influenza, Medicine 2.0, mHealth, Mobile Health Apps, Mobile Health Technology, Novartis WheresFlu, Respiratory Tracking Program, Respiratory Tract Infections, Science Roll, SDI FAN, Sickness Incidence Levels, Tracking Disease Activity, U.S. Flu Outbreaks
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As a part of the TheraFlu campaign, Novartis has developed free Android, Blackberry and iPhone applications for tracking flu outbreaks in the U.S. These days it’s become inevitable to develop free apps on all platforms in order to promote your product. From Novartis:
Keep up-to-date on the most active cold and flu reports around the country. The WheresFlu™ app follows sickness incidence levels from week to week and keeps track of the current top 5 affected cities in the nation. The WheresFlu™ app will find your current location and provide you with results for that area. Or you can enter a ZIP code to get information for that area.
If you’re wondering how it actually works and how it differs from Google Flu Trends, here it is:
WheresFlu™ measures weekly activity for cold and flu based upon real-time reports of symptoms from SDI FAN® (a source used by the Centers for Disease Control and Prevention). As the longest-running respiratory tracking program in the US, SDI FAN® covers illness levels in 135 regions across the country utilizing panel-member reporting along with patient-specific data. Advanced tracking uses illness status levels to predict change in the affected population for the nine US Census Regions.
*This blog post was originally published at ScienceRoll*
