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Should Hospitals Manage Their Physicians’ Online Reputations?

I spoke to a group of academic physicians recently.  Afterward I was and asked, “Shouldn’t my hospital be responsible for my digital footprint?  I don’t have time to look after that sort of thing.  And wouldn’t it make sense for them to promote my research?”

4 thoughts:

1.  Online reputation management of academic physicians should be an individual, not institutional, responsibility. The question reflects a belief that your reputation is the job of “the marketing people.”  No institution will ever be as invested in your future as you are.  While there are hospitals that do a good job supporting their faculty and staff, you can’t assume it to be the case.  No one looks after you like you.

2.  Dig your well before you’re thirsty. That’s the name of a brilliant pre-digital book written by Harvey Mackey.  He suggested that the time to invest in relationships is before you need them.  Medicine is changing fast and you’ll never know how long you’ll be where you’re at.  Better yet, you never know what opportunities could come your way when people find you.  And if you want to experience the land before time when people used colored pencils, Rolodexes, and rotary phones, read Dig Your Well. Read more »

*This blog post was originally published at 33 Charts*

If All Physicians Were Salaried, Would Access To Care Decrease?

My last post centered upon the funny-sounding word, ‘parallax.’ I was using it to describe how middle-age athletes see their sport.

But it seems to me that parallax relates to healthcare policy.

First, the definition:

Parallax: an apparent change in the position of an object resulting from a change in position of the observer.

Here goes…(in less than 360 words!)

As America and its government grapple with how much austerity can be tolerated, the cost of healthcare consumption holds center stage.

And…

Everyone knows a portion of the rising costs of healthcare stem from paying doctors a fair wage. (Worry not; I’m not prepping you for a rant about declining reimbursement and higher regulatory costs. This would be too fatiguing. Plus, doctors’ wages lie way beyond the scope of a clinician’s blog.)

Let me tell you a real-life story about a recent situation? It’s meant to illustrate one of the many healthcare policy conundrums. And it shows how one’s views of healthcare policy may depend–on the position of the observer. (ie, parallax) Read more »

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

Pregnant Journalist Strip Searched And X-Rayed Three Times

Like most pregnant women Lynsey Addario was cautious and conscientious. After all, this was her first pregnancy. She called the border officials in advance to make certain that she would not have to walk through an X-ray machine when she entered a country that has been besieged by war for more than 60 years. Unfortunately, Addario was wrong. Dead wrong. She was scanned, not once. Not twice. But THREE times and then made to strip down to her underwear. The soldiers laughed each time she complained. What was so funny? Her 28-week pregnant belly? Or perhaps her vulnerability.

As an American photojournalist with a Pulitzer Prize under her belt, Addario is not immune to danger. She had first-hand experience while on an assignment for The New York Times in March of 2011. At that time, she along with four other journalists went missing for four days in Libya.  They were ultimately released but not before Addario was allegedly groped and humiliated by Libyan soldiers. In May 2009 she broke her collar bone in a motor vehicle accident in Pakistan where another passenger was injured and the driver was killed. Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

Free And Convenient Flu Vaccines Increase Vaccination Rates In Healthcare Workers

Far more health care workers got flu vaccines this year than at the same point last year, according to a survey by the Centers for Disease Control and Prevention, although rates are still far less than ideal.

While flu vaccination rates among health care professionals have risen slowly over the past decade, less than half this group were vaccinated until the 2009-10 season, when an estimated 62% of health care workers received seasonal flu vaccines and an additional 2% of workers got only the H1N1 influenza vaccination, the report said. In the 2010-11 season, 63.5% of health care professionals reported flu vaccination.
The Advisory Committee on Immunization Practices recommends that all health care professionals get the flu vaccine every year, and the national Healthy People 2020 objective for health care professionals influenza vaccination is 90%. Read more »

*This blog post was originally published at ACP Hospitalist*

Telehealth Services May Support Mass Exodus From Nursing Homes

Did you know that every nursing home resident in the U.S. must be asked every quarter whether she wants to go home, regardless of her health or mental status? And if she says yes, there is a local agency that must spring into action to make that happen.

This is the result of a 2010 Center for Medicaid/Medicare Services regulation aimed at helping keep older people in their (less expensive) homes rather than institutional settings. A New York Times article notes that the nursing home exodus, while modest to date, is building. This means the number of people with serious chronic conditions like congestive heart failure, diabetes and chronic obstructive pulmonary disease who draw heavily on community-based primary care services will grow.

These returnees are joining their peers and the blossoming crowd of us Baby Boomers who intend to resist living in nursing homes with as much spirit as our parents did, while the consequences of our plump and sedentary lifestyles arrange themselves into a constellation of diabetes, congestive heart failure and COPD similar to the one that plagues our elders.

Much has been written about Read more »

*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*

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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