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Who gets to call themselves family physicians?

Who is a PCP? (And does that second “P” stand for “physician” or “provider”?) Who gets to say? Does it matter? Perhaps we should start with some basic qualifications: The degree of MD or DO, the satisfactory completion of an accredited residency in family medicine, and successfully passing the written examination of the American Board […]

Stay away from doctors: From a patient who listens

Earnest Tipp was very overdue for his blood pressure follow-up. Almost a year and a half overdue, as a matter of fact. The last few times I had refilled his medications, I had added “needs follow-up” to the signum on his scripts. The other day I finally saw him in my schedule. I thought about […]

More Barbarians at the Gates: Private Equity Puts Primary Care in Play

There are still some idealistic physicians who enter primary care practice as a calling.The usual informal definition of primary care is care which is continuous, coordinated, comprehensive and compassionate. The official definitionShow More Summary

MKSAP: 38-year-old pregnant woman with hypertension and diabetes

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman is evaluated during a follow-up visit. She has a history of well-controlled hypertension and type 1 diabetes mellitus. Show More Summary


This post from Emergency Medicine Ireland has a link to a full text review which should be read in its entirety. I have posted previously on the subject here and here.

It Looks Like All Is Not Entirely Kosher With The Way The Pharmacy Guild Has Involved Itself In Pharmacy IT.

This appeared last week:Pharmacy lobby in conflict row over IT firm’s windfall REBECCA URBAN The Australian April 25, 2015 12:00AM A struggling technology business backed by the Pharmacy Guild of Australia has reaped millions of dollars...Show More Summary

A wonderful Fisking

17 hours agoIndustries / Medical : GruntDoc

I’m neither terribly for nor against paramedics working as employees in the ED, but I love people ripping apart straw man arguments. Texas ENA’s Unprofessional Attack on EMS Author’s note: I generally avoid posting non-tech matters on my blog, but this unprofessional, unsubstantiated, fear-mongering attack of EMS in Texas has me boiling. Show More Summary

6 Tips That Will Help You Eat Healthier

Spring is in the air, which means it’s time to start embracing change and renewal in some areas of your... The post 6 Tips That Will Help You Eat Healthier appeared first on The Health Beat Blog.

AusHealthIT Poll Number 267 – Results – 26th April, 2015.

Here are the results of the poll.Should Parents Who Refuse To Vaccinate Their Children Loose Family Benefits Payments?Yes 69% (52) Probably 16% (12) Neutral 1% (1) Probably Not 4% (3) No Way 8% (6) I Have No Idea 1% (1) Total votes:Show More Summary

What is mental illness? Words matter.

I’ve been invited to speak to a group of attorneys who work at the interface of psychiatry and the law. The topic of my talk? “Psychiatry 101.” A psychiatrist who gave this talk to a similar group a few years ago advised me: “You should assume that lawyers are laymen. It’s surprising how little they […]

There are limitless opportunities to practice high-value, cost-conscious care

I am not an economist. This is how I start my high-value care session during the internal medicine clerkship orientation day at the Medical College of Wisconsin (MCW), and it is absolutely true.  It doesn’t take an economist, though, to realize that health care is too expensive.  Health care spending as a percentage of GDP […]

Is Fee-for-Service dead?

Link: CMS Lays Out Vision for Physician Quality Reporting Programs. “With passage of H.R.2 [SGR repeal and Medicare provider payment modernization], key components of these physician programs will serve as the foundation for the Merit-based...Show More Summary

ACP’s Centennial Meeting – #IM15 – starting Thursday

We are looking forward to ACP’s huge meeting #IM15 that officially starts this coming Thursday. This week I will finish my term as Chair of ACP Board of Regents. Serving ACP and our internal medicine community has been an incredible honor. Each day we (the non-staff leadership of ACP) have talked to internists and worked […]

IMGs matching into surgery: What are the chances?

Anyone considering attending a Caribbean or any foreign medical school should do due diligence. An Internet search is step one. If the school does not list residency match statistics, that could be a red flag. It would not be easy to accomplish, but try to speak with some current students or recent graduates of any […]

ACC Issues "Urgent" Message, But To Whom?

The American College of Cardiology (ACC) leadership, troubled by the "complex situation" presented by the changes in re-certification by the American Board of Internal Medicine (ABIM), issued an "urgent message" yesterday on their blog. This...Show More Summary

Thoughts from #SGIM15 & #ProudtobeGIM

Today I leave the SGIM meeting and fly to Boston for the ACP meeting. Despite having 8 days of meetings and finishing my stint as Chair of the ACP Board of Regents, I could never miss the SGIM meeting. SGIM (the Society for General Internal Medicine) became my academic home in the early 1980s. At […]

Open Letter to Minnesota's Heath Commissioner Dr. Edward Ehlinger on ill-informed health IT puff piece

Minnesota's Heath Commissioner Dr. Edward Ehlinger penned a puff piece on EHRs entitled "Electronic health records advance quality care for all Minnesotans" (Minn Post, 4/23/15, More Summary

MKSAP: 48-year-old woman with gradual weight gain

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 48-year-old woman is evaluated during a routine examination. She is concerned about her gradual weight gain over the years and requests counseling on how she can most effectively lose weight. Over 8 years, she has gained approximately 18 kg (40 […]

Update on serious MRSA infections

From Current Opinion in Infectious Diseases: Recent findings  Elevations in the vancomycin minimum inhibitory concentration within the susceptible range are associated with treatment failure and mortality in the treatment of MRSA infections. Show More Summary

Weekly Overseas Health IT Links - 25th April, 2015.

Here are a few I have come across last week. Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration...Show More Summary

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