April 29th, 2010 by Steve Novella, M.D. in Better Health Network, Health Policy, Opinion, Research
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To be blunt up front –- SBM is not apologetic about the pharmaceutical industry. We get zero funding from any company, and have no ties of any kind to “big pharma.” In today’s world I have to spend time making that clear, because despite the reality critics are free to assume and falsely claim that our message is coming straight from the bowels of hell (a.k.a. the pharmaceutical industry).
We promote science-based medicine and criticize pharmaceutical companies along with everyone else when they place other concerns ahead of scientific validity, or promote bad science, for whatever reason.
It has become fashionable, however, to not only criticize the pharmaceutical industry but to demonize them –- and the term “big pharma” has come to represent this demonization. Cynicism is a cheap imitation of skepticism –- it is the assumption of the worst, without careful thought or any hint of fairness. Read more »
*This blog post was originally published at Science-Based Medicine*
April 28th, 2010 by StaceyButterfield in Better Health Network, Humor, Opinion, True Stories
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I [recently] attended a fascinating session offering advice to international medical graduates (IMGs) on how to fit in and succeed in U.S. medical practice. Here’s a slightly-silly example of the kind of cultural differences that can cause confusion for IMGs:
Speaker Vijay Rajput, FACP, started to make a point using the good-old analogy of Lake Wobegon. Then he paused and asked how many attendees knew about Lake Wobegon. Only two raised their hands.
“That’s the problem right there,” he said, only half-jokingly. “You need to be listening to NPR!”
Clearly it takes a lot to become an American and a doctor at the same time.
*This blog post was originally published at ACP Internist*
April 28th, 2010 by DrRob in Better Health Network, Health Policy, Opinion
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A recent post on Kevin MD by Joseph Biundo, a rheumatologist, challenged my assertion that primary care doctors can save money:
(In reference to my claim…) That may be true in theory, but I see patients in my rheumatology office every day who have been “worked up” by primary care physicians and come in with piles of lab tests and X-ray and MRI reports, but are diagnosed in my office by a simple history and physical exam.
Prior to that, an article in the New York Times along with a post by Kevin Pho noted the fact that more solo practitioners are leaving private practice and joining hospital systems. Why are they doing this? Read more »
*This blog post was originally published at Musings of a Distractible Mind*
April 28th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News, Opinion, Research
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Two new surveys take the temperature of the primary care working environment.
In the first, a collaboration between the Medical Group Management Association and the Association of Staff Physician Recruiters, recruiters took a median of six months to fill positions for internal medicine or family practice physicians, according to the In-House Recruitment Benchmarking Survey: 2010 Report Based on 2008 Data.
Among the findings:
— It cost less to recruit specialists, due to the economic downturn and a 30% rise in the use of Internet job boards as a primary recruitment method.
— It takes longer to fill a position in non-metropolitan areas, where the impact of the primary care shortage is greatest. Read more »
*This blog post was originally published at ACP Internist*
April 28th, 2010 by Medgadget in Better Health Network, Research
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Jon D. Duke, M.D., a medical informatics fellow at the Regenstrief Institute at the Indiana University School of Medicine, has created an easy-to-use graphical online tool called RXplore that allows physicians and other healthcare providers to retrieve adverse reaction data for multiple medications simultaneously, and with an intuitive visual representation.
With RXplore, a physician can easily call up a visualization of the top 10 side effects of a specific drug or ask only for side effects relating to a particular specialty, such as gastroenterology. Alternatively, the doctor may request a snapshot of those drugs that cause a particular symptom, such as liver problems. Read more »
*This blog post was originally published at Medgadget*
