Haiti: What Will Happen When The Cameras Leave?
Nine days after the devastating earthquake that rocked Haiti, media attention is beginning to wane. What will happen next, when the cameras are off? Read more »
Nine days after the devastating earthquake that rocked Haiti, media attention is beginning to wane. What will happen next, when the cameras are off? Read more »

After returning to Twitter after a week-long break, I’ve had the chance to look at the service with a freshened perspective. Twitter needs to stay simple – that’s what drives its success. Nevertheless, I believe Twitter needs to mature and provide exploits of its service. While the basics of Twitter aught to remain, Twitter, Inc. can build a wider ecosystem around those basics which could make it a true contender as an important part of the Web.
Services like Posterous and Friendfeed offer features such as replying via email. Although third-parties could develop similar features via Twitter’s API, it’s time that Twitter mature a bit. If Twitter plays its cards right, it could offer itself as much more than just as the modern equivalent of a telecommunications utility (which it is).
*This blog post was originally published at Phil Baumann*
It’s no secret that without a stronger primary care foundation, the current reform efforts are unlikely to be successful. If anything, it will only delay the inevitable.
I wrote last month that one discussed solution, adding more residency slots, won’t help: it would simply perpetuate the disproportionate specialist:primary care ratio.
A recent op-ed in The New York Times expands on that theme. The authors suggest that not only does primary care need to be promoted, specialist slots should be limited. Simply building more medical schools, or adding more residency slots, without such restrictions will only add to the number of specialists.
Already, many primary care residency slots go unfilled – what’s the point of adding more?
You have to solve the root cause that shifts more students away from primary care: disproportionately low pay, disrespect that starts early in medical training, and poor working conditions where bureaucracy interferes with the doctor-patient relationship.
Until each of those issues are addressed, simply more spending money to produce more doctors simply isn’t going to work.
*This blog post was originally published at KevinMD.com*

A post on Dan Ariely’s Predictably Irrational draws our attention to Google as a source of data for all sorts of research into human emotions. Dan Ariely, the James B. Duke Professor of Behavioral Economics at Duke University, believes that by using drop down suggestions in Google, we can gain insights into “what people might care the most about concerning a given topic. Read more »
*This blog post was originally published at Medgadget*
The problem with the Western diet is not one of deficiency, but one of excess. We get too much of a good thing – too many calories, too much of the wrong kind of fat, and too much salt. As a result obesity, diabetes, and hypertension are growing health problems.
There also does not appear to be an easy solution – voluntary diets founded primarily on will power are notoriously ineffective in the long term. Add to that is the marketplace of misinformation that makes it challenging for the average person to even know where to apply their (largely ineffective) will power.
It can be argued that this is partly a failure, or an unintended consequence, of market forces. Food products that provide cheap calories and are tasty (sweet, fatty, or salty) sell well and provide market incentives to sell such products. Consumers then get spoiled by the cheap abundance of tempting foods, even to the point that our perspective on appropriate portion sizes have been super-sized. Read more »
*This blog post was originally published at Science-Based Medicine*
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…
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…
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…
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…
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…