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Physician Fired For Facebook Faux Pas

In recent years many health care providers and managers have told me, time and again, that the health care world is accustomed to managing confidential patient information, and therefore doesn’t need much in the way of social media training and policy development.  This week brings news that should make those folks sit up and take notice.  A physician in Rhode Island, who was fired for a Facebook faux pas, has now been fined by the state medical board as well.  The physician posted a little too much information on Facebook — information about a patient that, combined with other publicly available information, allowed third parties to identify the patient.  The details of the story are available here and here.

The key takeaway from this story — and the Johnny-come-lately approach to health care social media taken by the Rhode Island hospital in question and the Boston teaching hospital that the Boston Globe turned to for comment — is that prevention is the best medicine. Read more »

*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*

Survey: Some Believe That Physicians Should Not Engage In Social Media

Healthcare IT News recently asked its readers about their thoughts on doctors using social media.

The interesting part here is when 13% of participants think that doctors should not be using social media at all. I wonder why they ignore social media that much. Maybe because they have never heard about the limitations, dangers and potential tools to fight these dangers. Maybe we should talk more about these issues.

*This blog post was originally published at ScienceRoll*

iPhone Surpasses Android In Breadth Of Healthcare Apps For Physicians

Last month on match day, fourth year medical students from around the country — myself included — found out where we’ll be doing our residencies.

I was extremely excited to find out I matched at my home institution, Wake Forest University School of Medicine, to do my Emergency Medicine residency, a program rich in EM culture and innovation.

Almost immediately after “The Match”, iMedicalApps received emails from fourth year medical students questioning what type of mobile device they should purchase for residency — almost all asking between an iPhone or Android.

We even found out some residency directors were already making suggestions for the incoming residents, choosing the iPhone. Below is an excerpt from one such e-mail:

If you are considering a change in mobile companies, please look carefully at an iphone. There are many apps that we will be using in the near future and it would be a significant benefit to have one.

After much debate between the editors at iMedicalApps, we have came to the conclusion that the choice of smartphone for not only a resident, but for physicians and others in healthcare has now become abundantly clear — the iPhone.

Here’s why. Read more »

*This blog post was originally published at iMedicalApps*

Why You Should Use Twitter: Instant Medical Crowdsourcing

I’ve been building a medical community on Twitter for years and now I have about 6000 followers including doctors, medical students, patients, medical librarians, scientists, etc. Whenever I have a question about my profession, PhD, or social media, generally I receive a valid and relevant answer in minutes. I don’t always know who might have the answer for my questions, that’s why it can be beneficial to put that into a large pot full of people with similar interests and wait for the answer. There is always someone with an answer or there is always someone in the communities of my community who might have the final solution.

That’s why I use Twitter for everyday communication, even though my main platform is my still blog.

It’s an honor to be included in the world’s top 10 medical Twitter users’ list. Last year, I was selected by The Independent and later my Twitter story was mentioned in the New York Times. Although, I publish the core content of my activities on my blog instead of Twitter, but now that is the place to track interesting medical stories. According to Peer Index, I’m the 6th in a list of 1000 medical Twitterers. Read more »

*This blog post was originally published at ScienceRoll*

Why Accountable Care Organizations (ACOs) Will Not Solve Our Healthcare Cost Crisis

In 2009 President Obama stated that Accountable Care Organizations (ACOs) were going to be pilot programs in real world settings. The goal was to see if they effective in reducing costs and increasing “quality of care.” The results of the pilot programs have not been published.

Last week despite the lack of proof of concept HHS and CMS announced new proposed regulations for ACOs.

The new delivery and payment model the agency estimates could serve up to 5 million Medicare beneficiaries through participating providers, and also potentially save the Medicare program as much as $960 million over three years.

How were these estimates derived? It could be another accounting  trick by President Obama’s administration.

The idea of coordinating care and developing systems of care is a great idea theoretically. From a practical standpoint, execution is very difficult.

I tried to execute something similar in 1996 with the American Association of Clinical Endocrinologists; a national Independent Practice Association. AACECare received little cooperation or interest from Clinical Endocrinologists.

The problem is coordinated medical care is dependent on physicians cooperating and not competing with each other.  It also depends on  hospital systems developing an equitable partnership with physicians.

The equitable partnerships between hospital systems and physicians are difficult to achieve if past results are any indication of future results. Read more »

*This blog post was originally published at Repairing the Healthcare System*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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