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Why Patients Are Unsure Of The Primary Care “Medical Home”

Say the words, “Patient-centered medical home,” and you’re bound to get a variety of opinions.

On this blog alone, there are a variety of guest pieces critical of the effort, saying it does not increase patient satisfaction, nor does it save money. And that’s not good news for its advocates, who are pinning primary care’s last hopes on the model.

Medical homes hit the mainstream media recently, with Pauline Chen focusing one of her recent, weekly New York Times columns to the issue. She discussed the results of a demonstration project, showing some positive results. Read more »

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

New AMA Report: More Than 40% Of U.S. Physicians Are Victims Of Lawsuits

badappleI received this press release and was depressed by the prevalence of lawsuits filed against doctors in this country. More than 40% of physicians are sued at some point in their careers, and the vast majority of these suits are found to be meritless. If that doesn’t make you want to quit practicing medicine, I don’t know what does.

This kind of litigious climate definitely adds to my stress levels — and makes me fearful of caring for very sick and fragile patients who are likely to have poor outcomes, regardless of what I do. Many of my colleagues practice medicine with one eye always looking over their shoulder, wondering when that one bad apple will take them to court in an attempt at a financial windfall.

In Canada, those who bring frivolous lawsuits to court are responsible for all legal costs. Read more »

“Killer” Grand Rounds From Down Under

Grand RoundsBetter Health’s Grand Rounds this week is hosted by the ever-so-crafty Life in the Fast Lane team of Australian physicians at the Utopian College of Emergency for Medicine.

These docs “take great pleasure in sharing their medical experiences, clinical knowledge and insights into waiting-room medicine with health-conscious technophiles to facilitate the learning process by providing diverse and hopefully entertaining reading material.” It’s always worth a read (and a chuckle), no doubt.

With the theme of “Killer Posts” (just a hint — hate to blow the surprise), this edition of Grand Rounds is sure to educate in more ways than one! Experience it HERE.

Twitter As A Lifesaver?

Lots of people know about Twitter and what its many functions are. But Twitter as a lifesaver is probably something that you don’t hear about a lot. Leigh Fazzina was in a triathalon race last week in Connecticut when her bike crashed. Her cell phone could not make any voice calls. However, she did figure out that she could send out text:

3 Twitter accounts, SMS and MMS messages, BlackBerry Instant Message (BBM) and voice. I knew Twitter would get me an immediate response as my messages would be sent to the 1,000 or so people in my network. I also knew that my Twitter network being comprised of mostly healthcare communications/public relations colleagues would take me seriously…Remember, it was getting dark and I needed help immediately…

One of her many followers was @DrJonathan on Twitter and he describes in the video interview above from Doctor Anonymous Show 175, what he and a lot of her other followers did — they called the local authorities to let them know their friend was hurt and could not make a voice call. Read more »

*This blog post was originally published at Doctor Anonymous*

Glucose Monitor: From On The Belt To In The Belly?

Researchers led by bioengineering professor David Gough at the University of California-San Diego have reported, in a paper in Science Translational Medicine, that they implanted a wireless telemetry continuous glucose monitor (CGM) in two pigs (222 and 520 days, respectively) and the device was successfully reporting glucose levels to an external receiver.

Following human testing and FDA approval, devices such as these could replace similar systems that are external to the body with a needle attachment that pierces the skin to take measures. Combined with potential transdermal or intranasal insulin administration, this technology could lead to less sticking and poking of people with diabetes. Read more »

*This blog post was originally published at Medgadget*

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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