May 20th, 2011 by RyanDuBosar in News
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Seven percent of U.S. physicians use online video conferencing to communicate with any of their patients, according to a study of physician digital adoption trends.
The study captures a snapshot of technology, including mobile platforms, electronic health records, electronic prescribing and interaction with patients, pharmaceutical and health care market research company Manhattan Research said in a press release.
Psychiatrists and oncologists are more likely to be using video conferencing with patients. But physicians added that reimbursement, liability and privacy are still major barriers to communicating online with patients.
Major findings include: Read more »
*This blog post was originally published at ACP Internist*
May 12th, 2011 by RamonaBatesMD in Health Tips
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Recently I attended a CME course entitled “Dealing with Difficult Colleagues.” It was part of my medical malpractice company’s risk management series to teach physicians/nurses how to lessen our risk of being sued.
This lecture was given by Linda Worley, MD who is a psychiatry professor at UAMS. She is a good speaker, easy to understand, engages the crowd, and knows her subject.
My only complaint would be that it focused only the “angry” or “frustrated” physicians who exhibit unprofessional behavior and did not include the ones whom you suspect might be difficult due to impairment (illness, drugs, alcohol).
Difficult colleagues can impact a team (in office, OR, or hospital) by creating low morale, high staff turnover, inefficiency, decreased patient satisfaction, increased risk for poor patient outcomes, and increased risk of litigation.
Here are some of the A-B-C-D strategies given for handling “horizontal” hostility (or hostility handed from one person to another to the next in the team): Read more »
*This blog post was originally published at Suture for a Living*
April 21st, 2011 by RamonaBatesMD in Health Tips, True Stories
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My husband had a screening colonoscopy last Friday. His nurse in the recovery is the only one I had issues with. I, not my husband.
All went well, but let me tell you he is not an ePatient Dave. He did not read his instructions about when to quit eating and the prep. I did. I then reminded him along the way: “Only clear liquids today.” “You must take the Ducolax at 3 pm. Do you want me to text you a reminder?”
Sometimes the instructions we give patients are clear, but not always read.
The staff at the front desk were very kind and organized. Calls had been made the day before and I had insured the insurance information they had was correct. I did not tell anyone I was a doctor. I’m not sure if my husband did later or not.
…..
When I was called back by the nurse, she mispronounced my name calling me Rhonda (which I forgave easily). She did not introduce herself to me.
As we entered the recovery area, she did not take me to my husband and assure me he was okay. She took me to the desk and abruptly said, “You need to sign this.” Read more »
*This blog post was originally published at Suture for a Living*
April 19th, 2011 by Nicholas Genes, M.D., Ph.D. in Opinion
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Reading the ER Stories blog is often a guilty pleasure for me. Today’s post, however, struck a nerve:
Very often I ask patients about their recent visits to other doctors. While I am taking a history, it’s important for me to know if you’ve recently been seen by another provider for the same or similar complaints and what they did, what they diagnosed you with, what they prescribed, etc.
I often get a kind of irritated response such as “Oh, he didn’t do anything” or “he said it was nothing” or “he didn’t say anything to me”. Although I know my share of layzee doctors, I bet the vast majority of times, the doctor DID do something and DID say something.
Just not what the patient either wanted to hear or that their perception or comprehension was wrong. …
… Now, maybe he is not a good communicator. Maybe he doesn’t have the time to sit there and explain the pathophysiology of viruses or something like benign peripheral vertigo – and thus you feel short changed. After all he “just asked me a few questions, listened to my lungs and told me to go home and rest”.
Early on in my training I was fortunate to be taught that proper communication is the responsibility of both doctor and patient. So when a patient shows up in my ED and says their last doctor “did nothing” — when I can see with a few clicks that they got labs, a CT, and two prescriptions — well, there’s a failure to communicate. And the other doctor carries at least some of the blame for this. Read more »
*This blog post was originally published at Blogborygmi*
April 17th, 2011 by Elaine Schattner, M.D. in Opinion
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Recently Ed Silverman of Pharmalot considers the case of a ghost-written medical text’s mysterious disappearance. The 1999 book, “Recognition and Treatment of Psychiatric Disorders: A Psychopharmacology Handbook for Primary Care,” (reviewed in a psychiatry journal here) came under scrutiny last fall when it became evident that the physician “authors” didn’t just receive money from a relevant drug maker, SmithKline Beecham; they received an outline and text for the book from pharmaceutical company-hired writers.
poster for the X-Files
Now the book’s listing is gone from the website of STI (Scientific Therapeutic Information), the company that provided the authorship “help.” I tried to get a copy of the handbook on Amazon.com, where it’s currently out-of-stock. The book is listed in the Library of Congress on-line catalog: #99015420.
I’m reminded of clinical handbooks I used all the time when I was practicing hematology and oncology. At the hospital, I’d get freebie, small-sized chemo regimen primers that conveniently fit into my white coat pocket. In retrospect, perhaps I didn’t adequately check the authors’ credentials on those mini-book sources. It was too easy to take that information and keep it at hand, literally, especially in the times before we had constant Web access. Read more »
*This blog post was originally published at Medical Lessons*
