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What Constitutes Good Primary Care?

There’s a big buzz about primary care being a great thing; and there are a lot of people touting it as a lynchpin of financial reform.  I believe this is true.  But there is a condition that must be met for any of this true.  It must be primary care done well.

The idea of good primary care is an assumption that may not be valid for many PCPs.  There are many good PCPs out there, and I believe they constitute the majority, but there are also those who have frustrated and discouraged patients.  I think this is mostly due to a payment system that has discouraged everything that primary care should be, but as the discussion goes on there needs to be more than just warm bodies labeled as PCPs.

Here is what I see as the essentials for good primary care: Read more »

*This blog post was originally published at Musings of a Distractible Mind*

For Lack Of Transparent Prices

I am approaching an important anniversary of my heart attack. Until then, I had missed but a single day of work due to illness since starting medical school in 1975. Even in the middle of the heart attack, I played an entire ice hockey game, slept a few hours, had a business meeting with a fellow doctor at Starbucks, and went back to the office to see patients.  In retrospect, my actions could be labeled as folly, bravado, machismo, denial, and lucky. I accept all labels as true. Without a trace of shame I have shared this archetypal story with friends, and patients hoping that by laughing hard enough at me, I might prevent at least one person from dropping dead from stupidity. Read more »

The Future Of Primary Care: HSAs, Catastrophic Coverage, And Direct Payment For The Basics

gordonmooreI’ve been following the career trajectory of Dr. Gordon Moore since I first became aware of his low-overhead, high-tech model of medical practice. He’s come a long way since the AAFP first interviewed him in 2002. I had the chance to catch up with him at the recent Health 2.0 conference in San Francisco, and we discussed the future of primary care and a practice model that I believe in (I just joined DocTalker Family Medicine myself!) Here’s our peek into our healthcare crystal ball…

Dr. Val: Tell me about what got you interested in creating a new practice model for primary care?

Moore: I came into healthcare with a somewhat Pollyannaish vision of reducing suffering and improving health. Without any docs in my family, I had no understanding of what it meant to actually practice. About 5 years after residency, I realized that there was an increasing disparity between my vision of practicing medicine and its reality. At that time I joined a quality improvement initiative at the University of Rochester, and we looked at increasing efficiency in primary care, including creating the idealized design of clinical office practices. Read more »

H1N1 Vaccine: Why Kids Should Get The Shot

There’s a disturbing statistic floating about parents’ view of H1N1. According to a recent survey by CS Mott Children’s Hospital, only 40% of parents plan to get their kids the H1N1 shot. The reason: “they are not worried about H1N1”.

This statistic completely stuns me given the amazing amount of coverage and data on H1N1. As a parent and a pediatrician, I’m floored that more parents are unable to see just how serious H1N1 is and why they need to immunize their children for this flu season.

Let’s tease through the facts so you have a better understanding why H1N1 isn’t a virus to take lightly, or for granted: Read more »

*This blog post was originally published at Dr Gwenn Is In*

Contest: Making Sense of Diabetes

I have a lot to catch up on, but something I wanted to post about ASAP was the Making Sense of Diabetes contest that is happening at TuDiabetes, in preparation to raise awareness of World Diabetes Day (coming up fast on November 14th).

According to the release, “We are seeking video entries that tell about the impact diabetes has on our lives through one of the five senses: sight, hearing, taste, touch and smell.  Diabetes affects our lives in ways we may not always realize. We smell insulin, savor glucose tablets, feel the poke of our lancing devices, react to our doctor’s words and see the life ahead of us.”

They’re looking for video submissions, and there are some really cool prizes on tap for winners.  Not to mention the emotional boost that creativity like this can provide – which, in my mind, is huge in helping us deal with diabetes.  For details on how, and what, and when, to submit, check out this entry on TuDiabetes. Read more »

*This blog post was originally published at Six Until Me.*

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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