May 5th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion, Research
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The new healthcare reform law, which is called the Patient Protection and Affordable Care Act (PPACA), will be a huge disappointment to the millions of previously-uninsured people who finally purchase insurance policies when they try to find a doctor.
Primary care physicians are already in short supply and the most popular ones have closed practices or long waits for new patients. Imagine when 2014 hits and all of those patients come calling. Who is going to be available to treat them? Read more »
*This blog post was originally published at EverythingHealth*
April 21st, 2010 by KevinMD in Better Health Network, Health Policy, Opinion
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It’s well documented on this blog that the primary care shortage will only worsen once most of America has access to affordable health insurance.
As I wrote in a recent op-ed, not only will there a shortage of primary care physicians, but nurse practitioners and physician assistants won’t alleviate the problem either, mostly because they are also enticed by the lucrative allure of specialty practice. Enter the three-year primary care physician. Apparently, the fourth year of medical school was deemed expendable. Read more »
*This blog post was originally published at KevinMD.com*
March 24th, 2010 by DavidHarlow in Better Health Network, Primary Care Wednesdays, Research
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Ten years after the release of the IOM report To Err is Human, which documented the toll taken by medical errors in this country, the question remains: What can be done to reverse the trend of ever-increasing morbidity and mortality due to medical errors? Last December, a look back over the decade since the release of To Err is Human — and a steady medical error death rate of about 100,000 per year included a series of suggestions for tweaks to the health care delivery system that may help ameliorate the situation. Earlier this week, a gadget that enforces good handwashing technique by sniffing caregiver and clinician hands for soap before a hospital patient may be touched has been touted as potentially saving significant costs related to HAIs.
Today, the Lucian Leape Institute released a report titled Unmet Needs: Teaching Physicians to Provide Safe Patient Care which focuses on moving back the point in time where an intervention is needed to reverse the trend documented in To Err is Human and since. Leape and his colleagues at the National Patient Safety Foundation are now focused on reinventing the medical school curriculum, so that patient safety will be taught more effectively in medical schools. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
February 24th, 2010 by RyanDuBosar in Better Health Network, News
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ACP Internist looks at how states are using grants to fix their primary care shortages.
Michigan launched grants for primary care doctors to repay medical school loans and is looking to tap into federal incentives to fill its needs in rural and urban shortage areas. Alaska also needs primary care doctors, so the state senate is pushing through recruiting incentives of its own. (They should show re-runs of Northern Exposure.) Rural Indiana doesn’t have a quirky ’90s hit television program to its credit, but it has nurse practitioners who are finding their niche on physicians-led teams–relieving the backlog and providing patient education. (Detroit Free Press, KTUU-TV, Journal & Courier) Read more »
*This blog post was originally published at ACP Internist*
February 12th, 2010 by KevinMD in Better Health Network, Opinion
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Currently, the most important test prospective medical students take is the Medical College Admission Test, or MCAT.
Despite what schools say, an MCAT score holds tremendous weight, more so than a brilliant essay or a stellar recommendation letter.
In an interesting New York Times piece, Pauline Chen wonders whether that score itself leads to a great physician. She discusses an article showing that students’ cognitive traits may be equally important.
Although students go through several interviews to get an assessment of their personality, these are rarely standardized, and certainly not quantified. It’s important to know, for instance, how a student responds to stress: “If I know someone is not just stress-prone, but stress-prone at the 95th percentile rather than the 65th. I would have to ask myself if that person could handle the stress of medicine.” Read more »
*This blog post was originally published at KevinMD.com*
