July 16th, 2011 by Michael Sevilla, M.D. in Health Policy, Opinion
No Comments »
Every day in the news, you hear about the United States federal budget and the potential political complications if something is done or if nothing is done. And every day in the news you hear about possible cuts in Medicare. What you don’t know is that some cuts in Medicare can significantly impact the training of future Family Physicians. What do I mean by this? Well, did you know that residency programs are paid Medicare funds (called Graduate Medical Education funds) going to hospitals? Check out this great article about how residency programs are funded.
So, let’s play this out with its potential complications for Family Medicine. If GME funds are cut as they are proposed, then many hospitals with only one residency program (usually a Family Medicine program), may be forced to close the program – thereby decreasing the number of Family Physicians being trained. In those hospitals with multispecialty programs (like large university hospitals), cuts in GME funding would force hospitals to cut their Family Medicine residency slots in favor of more specialty residency slots, which are more lucrative for hospitals. Again, this would decrease the number of Family Physicians being trained.
With GME funding being cut, there are two other disturbing possibilities that may happen. First, Read more »
*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*
June 2nd, 2011 by EvanFalchukJD in Opinion
No Comments »
At the New York Times’ City Room Blog, Joel Cohen writes:
my wife and I are convinced that all medical students should have to pass Overbooking 101 before they can become doctors.Again and again, we arrive at a doctor’s aptly named waiting room on or before the scheduled time, only to learn that three or four others sitting there have been given the same appointment.
He says doctors need to understand the impact of this on their patients. I agree, but not just because it’s annoying.
A typical doctor sees thirty patients a day. Some see even more.
Reflect on that math. If your doctor sees 30 patients a day, that’s 150 a week, 600 a month, maybe 7,000 a year.
It means that if it’s been even two months since you last saw your doctor, he has probably seen more than a thousand people since your last visit. It’s why there’s often that Read more »
*This blog post was originally published at See First Blog*
May 16th, 2011 by Michael Sevilla, M.D. in Opinion
No Comments »
I wasn’t able to attend the Annual Leadership Forum (ALF) and the National Conference of Special Constituencies (NCSC) meetings in person this year. This is an annual meeting in Kansas City put on by the American Academy of Family Physicians (AAFP). I know that it can be hard to believe that someone actually likes going to a meeting. However, for me, these meetings always re-energize me and connect me with people with a passion for Family Medicine.
In 2010, there were only a few of us utilizing social media tools like twitter and facebook (including my blog posts from Thursday & Friday). However, just a year later, there seems to have been an explosion of people utilizing these platforms to a point yesterday when I saw a bunch of people signing up for the first time during the meeting. Even members of the AAFP Board of Directors were creating twitter accounts yesterday. Wow!
I really believe that this year, 2011, is when the Family Medicine community will more fully embrace social media, not only as a means of socialization, but also as a means of advocacy for our specialty. Here are some other reasons why I believe that Family Medicine needs social media: Read more »
*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*
May 4th, 2011 by Davis Liu, M.D. in Primary Care Wednesdays
No Comments »
The New York Times recently published an article titled the Family Can’t Give Away Solo Practice wistfully noting that doctors like Dr. Ronald Sroka and “doctors like him are increasingly being replaced by teams of rotating doctors and nurses who do not know their patients nearly as well. A centuries-old intimacy between doctor and patient is being lost, and patients who visit the doctor are often kept guessing about who will appear in the white coat…larger practices tend to be less intimate”
As a practicing family doctor of Gen X, I applaud Dr. Sroka for his many years of dedication and service. How he can keep 4000 patients completely clear and straight in a paper-based medical system is frankly amazing. Of course, there was a price. His life was focused solely around medicine which was the norm of his generation. Just because the current cohort of doctors wish to define themselves as more than their medical degree does not mean the care they provide is necessarily less personal or intimate or that the larger practices they join need to be as well. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
May 4th, 2011 by Lucy Hornstein, M.D. in Humor, True Stories
No Comments »
9:00 pm:
Hello. It’s Mrs. Mumbledimumbler; I need the doctor to call me right away. My hip is driving me crazy. Please call me.
I listen to the message three times so I can sort of make out the name. The problem is that even though I think I can understand it, I don’t recognize it at all. But I call her because she said she needed me to call her right away.
Hello. I need you to call me in some tramadol right away.
“What was your name again?”
She repeats it clearly enough for me to confirm that I really don’t recognize it.
“Have I ever seen you in the office?”
No.
Let me get this straight: it’s 9:00 at night and your hip is hurting, so you call a doctor who’s a complete stranger and insist that they call you in a powerful painkiller without ever having seen you, taken your medical history, or examined you? I don’t think so.
“Um, I’m sorry ma’am, but I really can’t do that unless you’re an established patient in my office.”
Oh, okay; never mind.
I suppose I should count my lucky stars that she didn’t want vicodin.
*This blog post was originally published at Musings of a Dinosaur*
