December 16th, 2009 by Davis Liu, M.D. in Better Health Network, Health Policy, Opinion
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The current generation of medical students are not choosing primary care and instead are flocking to specialty care medicine in droves. Unlike decades ago when the best and brightest often went into internal medicine, the vast majority of students opt for dermatology, radiology, anesthesiology, and ophthalmology. Reasons for doing so include better predictable schedules, work-life balance, and compensation.
While I understand that proponents for more primary care doctors use other reasons to increase the primary care workforce, namely decrease the healthcare cost curve and improve health outcomes, medical students today need more compelling and practical reasons to do primary care.
I’ll give three. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
December 16th, 2009 by Happy Hospitalist in Better Health Network, Opinion
3 Comments »
Are gifts for doctors appropriate in the physician-patient relationship? Or should doctors refuse all offerings of gratitude that come their way?
Patients often give gifts to doctors as an appreciative sign of great thanks for for the care they provide. Some years I may go unappreciated for my efforts. Some years I get thanked for a job well done for spending time with the patient and their family. Some years I have patients that hate me. Some years I even I have patients that hate me and love me. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
December 16th, 2009 by DrCharles in Better Health Network, Health Tips
1 Comment »
With all the controversy about the utility of mammography, optimal Pap smear intervals, and risks of prostate cancer screening, you have to ask yourself – what are the most beneficial and cost effective preventive services we should be focusing on?
Here are the top 10 preventive services. These items were chosen by the National Commission on Prevention Priorities, and highlight those preventive services including immunizations, screenings, preventive medications, and counseling that give “the most bang for the buck.” For an in depth discussion of methods and results, read Am J Prev Med 2006;31(1):52–61
Read more »
*This blog post was originally published at The Examining Room of Dr. Charles*
December 16th, 2009 by AlanDappenMD in Primary Care Wednesdays
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Over the past few weeks, I’ve presented a parody of family medicine, whereby each character (Mrs. Doctor, Mr. Insurance, Patients) represent the current triad of the most dysfunctional of all American families: that of primary care practice. This week, Mrs. Doctor airs her grievances to her counselor about her evermore demanding and unreasonable spouse, Mr. Insurance).
A week after Mrs. Doctor’s visit to her PCP’s office, she sits in a waiting room, awaiting her first visit with the therapist.
Unlike the chaotic, tense reception at her primary care physician’s office, the therapist’s waiting room is everything but: it boasts relaxing designs and colors, is not crowded, and no noise save the soft bubbling from a Zen water fountain can be heard. A feeling of calm invites Mrs. Doctor to sit and reflect.
Read more »
December 15th, 2009 by Dr. Val Jones in Opinion, Research
1 Comment »
Steve Novella whimsically opined on a recent phone call that irrationality must convey a survival advantage for humans. I’m afraid he has a point.
It’s much easier to scare people than to reassure them, and we have a difficult time with objectivity in the face of a good story. In fact, our brains seem to be hard wired for bias – and we’re great at drawing subtle inferences from interactions, and making our observations fit preconceived notions. A few of us try to fight that urge, and we call ourselves scientists. Read more »
*This blog post was originally published at Science-Based Medicine*
