[Recently] some of us participated in the flagship physician Tweetchat (MDChat). Or better, I tried to participate between finishing up some calls and choking down a bean burrito.
When the idea was initially proposed to me I committed only to supporting its initiation with the occasional role of host. I’m simply overcommitted, but wanted to support Phil Baumann and those who were willing to try to break new ground. So I lurked, chewed, and pondered.
Doctors or not, everyone knows I’ve been a pretty lukewarm proponent of the tweetchat. I think they’re noisy, difficult to follow, and too abbreviated for constructive dialog. As early adopters I think we tend to put the novelty of the medium above its practicality.
With that said, chats can be fun. It’s a situation where I feel comfortable while at once restless. Kind of like at a medical staff meeting where the agenda doesn’t hold me quite as much as just being among my friends.
At the end of the day I might agree with Dr. Anonymous that the average physician new to social media might not find a twitter chat as the best way to spend a precious hour. For me that hour represents the better part of a blog post which, over the course of a month, will influence hundreds of readers and live forever.
But I suspect that there will always be those among us looking for companionship over content. And it’s hard to argue with that.
*This blog post was originally published at 33 Charts*
Only 6.7 percent of office-based physicians routinely e-mailed patients about clinical information in 2008, according to an issue brief from the Center for Studying Health System Change.
Only 34.5 percent of office-based, ambulatory care physicians reported that information technology for communicating with patients about clinical issues via e-mail was available in their practice in 2008. Of that third, 19.5 percent routinely e-mailed patients, or 6.7 percent overall, while the rest were split between occasional use or non-use. The study sample was restricted to 4,258 office-based physicians and the response rate was 62 percent.
In contrast, twice as many physicians spent at least some time each work day e-mailing physicians and other clinicians. Read more »
*This blog post was originally published at ACP Internist*
Any promoter of science-based medicine often faces the question: “What’s the harm?” What is the harm if people try treatment modalities that are not based upon good science, that are anecdotal, or provide only a placebo benefit? There are generally two premises to this question. The first is that most “alternative” placebo interventions are directly harmless. The second is that direct harm is the only type worth considering. Both of these premises are wrong.
The pages of Science Based Medicine (SBM) are filled with accounts of direct harm from unscientific treatments: Argyria from colloidal silver, death from chelation therapy, infection or other complications from acupuncture, burns from ear candleing, stroke from chiropractic neck manipulation — the list goes on. You can read anecdotal accounts of such harm on the website, whatstheharm.net.
Of course, as we often point out, harm and risk is only one end of the equation — one must also consider benefit. It is the risk-benefit ratio of an intervention that is important. But generally we are talking about interventions that lack any evidence for benefit, and therefore any risk of harm is arguably unacceptable. Read more »
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:
No matter where one stands on appropriateness and advantages of each patient being involved in self-diagnosis and treatment of their own medical problems there are two inevitable conclusions:
• First of all, self diagnosis and treatment are as natural as breathing and as impossible to extinguish as thought itself.
• Secondly, given today’s healthcare system, there always will exist a dynamic tension between self-determination of the individual patient and the powerful healthcare system which often insists on patients falling back in line and complying with orders.
Few would argue against the need for a powerful alliance that embraces the benefits brought to the table by both the practitioner and the patient. Simplistically, the physician would carry the role of healthcare consultant and guidance while the patient ultimately becomes responsible for the choices. Read more »
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