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Practicing Medicine: It Pays Well, But How Meaningful Is It?

Doctors are the top six best-paid careers (based on median and top pay), with anesthesiologists being the best-paid, primary care being the sixth-best and nurse anesthetists the seventh best-paid, according to a survey by CNN/Money magazine and PayScale.com. But not one of the physician careers landed on the top lists for job growth or quality of life. The title of best job went to software architect and the second-best job went to physician assistant.

Take heart, though. When asked about having the most meaningful work (based on the percentage who think their job makes the world a better place), the top spot went again to anesthesiologists, and second through ninth went to some kind of medical provider or healthcare administrator. Social workers rounded out the tenth spot. (CNN/Money)

*This blog post was originally published at ACP Internist*

Are Social Networks Compatible Or Competitive?

The BlogWorld Panel - Kerri Sparling, Kevin Pho, and Bryan VartabedianI was in Las Vegas, but it wasn’t all just spending quality time with blogging buddies.  There was work to do — we were there for the Social Health track of BlogWorld & New Media Expo 2010 to help inform others about the discussions taking place in the medical blogosphere, and the power of these communities. 

The panel that I was participating on was Social Networks & The Medical Blogosphere:  Compatible or Competitive, with fellow panelists Kevin Pho and Bryan Vartabedian (see photo) moderated by the fabulous Kim McAllister. The big question was: “Are these social networking technologies helping or hurting the blogosphere?”

We, as a panel, gave this a lot of thought as we prepared for our discussion, and we ultimately settled on the answer of “Well…both.” Read more »

*This blog post was originally published at Six Until Me.*

Patient “Customer Service” Is Good Care

Gosh, a whole lot of huffing over a little word! “Customer.” Okay, now grab a paper bag and breathe slowly and steadily into it. I know it’s hard to hear that word. I am sorry to have caused such trouble.

Some folks misunderstood my last post, thinking that I thought patients should only be considered customers, or that they should be referred to as customers. I never said that, nor did I imply it. I simply said that patients are customers. They are. Medical care is not free, and it is being paid for by the patient (directly or indirectly). Medicine is a business that has been so mismanaged that we are now in a crisis over its financial side. The trouble is the cost of care. Cost implies money is used, and trading money for services or goods is what business is about.

We’ve been spending our dollars on healthcare like a person irresponsibly running up a credit card bill they can’t pay back. The pain doesn’t happen now, it happens down the road when the collectors knock. We can’t order whatever tests we want or prescribe gazillion dollar drugs without remembering somebody will have to pay the bill. Ignoring the business of medicine has gotten us into deep doo-doo. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Accountable Care Organizations: The Gathering Storm?

Those of you who’ve read this blog for any length of time know that I have been a pretty strong advocate for healthcare reform. This has been primarily motivated by my passion for universal coverage, but also with my frustration with the cost of the current healthcare system, the generally crummy outcomes, and the overall level of fragmentation in the whole affair.

Even today, I had to repeat blood tests on a cancer patient who came to the ER. He had had blood tests at the cancer center ACROSS THE STREET before presenting, but, so sorry, our computers don’t talk to theirs and it’s after 5pm now, so forget about getting those results. 

So it’s with a mixture of enthusiasm and dread that I consider the coming onslaught of accountable care organizations (ACOs). What are ACOs? They’re the buzzword of the day, that’s for sure. Everybody knows they’re the next big thing. They’re coming. We’ll all be in an ACO by next Tuesday for sure. It’ll be nirvana. Right? Read more »

*This blog post was originally published at Movin' Meat*

Public Health Should Be Apolitical

You can be for freedom. You can be for smaller government that intrudes less. You can be for lower taxes. You can be for most anything, but if you’re interested in improving the sagging health of American citizens, get on Michael Bloomberg’s wheel.

As reported in the Wall Street Journal, NYC mayor, Michael Bloomberg, has asked the U.S. Department of Agriculture to bar city residents from using food stamps to buy sugary soft drinks. It turns out that last year $135 million in food stamp money was used for the consumption of these obesity-fostering beverages in NYC alone.

Mr Bloomberg is morphing into a real-world public health super star. Previously, he was a pioneer in banning smoking in restaurants and bars. They said it could not be done, or that it wouldn’t work. Well, the naysayers were dead wrong. Now public smoking bans our commonplace and, backed by objective data, are accepted as having prevented thousands of heart attacks. Read more »

*This blog post was originally published at Dr John M*

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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