This video was [recently] shown at the 2010 American Academy of Family Physicians annual meeting in Denver. The theme is simple: “We are here. We are listening. We are healing. We are family physicians.”
People ask me all the time “what do you do?” There’s no easy way to explain all the things that I do as a family physician. In addition, each family doc in each community is unique. That’s kind of part of the difficulty of answering the question. But I believe this video does a good job of trying to encapsulate who we are as family physicians:
It’s not surprising to people that I’m a “techy” type of guy. Reading tech stories about the latest gadgets is a nice occasional escape from work. One of the ways that medicine and tech intersect is in some “overuse injuries” that I’ve seen and talked with people about. When the Nintendo Wii first came out, there were many stories of “Wii-itis” and tendonitis-related injuries.
Last week American Medical News interviewed me for a story posted on their site [on September 27th] called “New Personal Technology Creating New Ailments.” The article opens like this:
When Mike Sevilla, MD, sees young patients at his Salem, Ohio, family practice, he often finds them text messaging or listening to music on portable media players. These tech-savvy patients may not realize it, but they could be on the way to developing health problems related to overuse of personal technology. That’s why Dr. Sevilla uses such exam room encounters as a springboard to talk about the potential health impact of today’s tech devices.
“I talk about listening to loud music and being distracted while driving. … I bring up those examples of people who were hurt or killed because they could not disconnect themselves from their cell phone,” he said. Dr. Sevilla and other physicians across the nation are adding questions about cell phone use and computer habits to the office visit at a time when dependence on electronic devices has reached unprecedented levels.
The article goes on to say that the most common physical problems that are seen include problems with vision, elbow, thumb, and wrist. These are due to prolonged use of computers and mobile devices like cell phones and electronic handheld devices. Read more »
Government healthcare reform efforts are picking up the pace to roll out new reimbursement and practice models for primary care.
Medicare is giving out $10 billion for pilot projects encouraging new models of primary care, including the patient-centered medical home. New Jersey just passed legislation to explore the patient-centered medical home. Now, Massachusetts, the early adopter of mandatory health insurance, is now ambitiously planning how to take on the fee-for-service reimbursement system and moving toward accountable care organizations. Under discussion are the scope of power for state regulators, what rules will apply to accountable care organizations, and how to get rid of the existing fee-for-service system.
Blogger and pediatrician Jay Parkinson, MD, MPH, comments about the “bureaucrats in Washington” that, “they’ve decided for doctors that we’ll get paid for strictly office visits and procedures when, in fact, being a good doctor is much, much more about good communication and solid relationships than the maximum volume of patients you can see in a given day.”
Now, it’s those same bureaucrats who are changing the system, trying to find a model that will accomplish just those goals. (CMS Web site, NJ Today, Boston Globe, KevinMD)
*This blog post was originally published at ACP Internist*
Nearly a third of medical graduates at the University of North Dakota continue in primary care, down from nearly half just two years ago. This is the university that leads the nation for the percentage of students (about 20 percent) choosing family medicine.
Keeping medical students interested in practicing primary care in rural America depends upon whom medical schools choose to admit. For example, one-fourth of the University of North Dakota’s student population hails from small towns, and 80 percent are in-state.
More and more medical schools are looking at locally grown talent to fill their residencies, believing that these students are more likely to stay after graduation. Read more »
*This blog post was originally published at ACP Internist*
I like Dr. Rob, the one with the “distractible mind.” And although I thoroughly agree with the stance he takes in his recent post against cholesterol screening in kids, I must take issue with his opening statement:
I have a unique vantage point when it comes to the issue universal cholesterol screening in children, when compared to most pediatricians. My unique view stems from the fact that I am also an internist who deals with those children after they grow up on KFC Double Downs.
From Dictionary.com:
“Unique: existing as the only one or as the sole example; single; solitary in type or characteristics.”
Your med-peds training allows you to follow patients from birth to death (but no obstetrics or gynecology). You can care for all organ systems and all stages of disease (but without as much training in psychiatry). Congratulations! You’ve just (re)invented family practice (except for the above shortcomings). Oh, wait — that’s already a recognized specialty with its own residency programs, boards and everything like that, forty years now.
This misuse of the word “unique” is one of my pet peeves. “Unique?” I don’t think that word means what you think it means. After twenty years in practice, I agree that there probably isn’t much difference between what Dr. Rob does and what I do. After twenty years, I’m not even sure how much relevance remains from our “training.” Still, there remains a great deal of confusion about the very real differences between family practice and med-peds residencies. Read more »
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It’s not surprising to people that I’m a “techy” type of guy. Reading tech stories about the latest gadgets is a nice occasional escape from work. One of the ways that medicine and tech intersect is in some “overuse injuries” that I’ve seen and talked with people about. When the Nintendo Wii first came out, there were many stories of “Wii-itis” and tendonitis-related injuries.
I like Dr. Rob, the one with the “distractible mind.” And although I thoroughly agree with the stance he takes in his 
